DR. SEAN TIMOTHY SULLIVAN D.D.S.
NPI 1750421830
Dentist - General Practice in Omaha, NE
About Dr. Sean Timothy Sullivan D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SEAN TIMOTHY SULLIVAN D.D.S. (NPI 1750421830) is an individual general practice provider in Omaha, Nebraska, licensed in California (37607) and active in the NPI registry since February 2007. He has opted out of Medicare through April 21, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Sean Timothy Sullivan D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 21, 2016 through April 21, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sean Sullivan's NPI number?
The NPI number for Sean Sullivan is 1750421830. It was assigned to this individual provider in the NPPES registry on February 7, 2007.
Where is Sean Sullivan located?
Sean Sullivan practices at 18625 Hoich Dr, Omaha, NE 68136. The listed phone number is (402) 891-7990.
What is Sean Sullivan's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Sean Sullivan enrolled in Medicare?
No. Sean Sullivan has opted out of Medicare through April 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Sean Sullivan accept?
Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Nebraska and 7 other insurers list Sean Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sean Sullivan was last updated on December 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Sean Timothy Sullivan, D.D.S. · NPI 1750421830
General Practice provider in Omaha, Nebraska. Individual provider, active in the CMS NPPES registry since February 7, 2007.
## Identity
- **NPI:** 1750421830 (Entity type: Individual)
- **Enumerated:** February 7, 2007
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 37607 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 18625 HOICH DR, Omaha, NE 68136-1233
- **Phone:** (402) 891-7990
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 21, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** December 2, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1750421830) · Data from the CMS NPPES public registry.