Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1366401887 Deactivated / Inactive NPI Male Practitioner

Dr. Samuel James Sullivan , DC

Chiropractor • Dubuque, IA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Samuel Sullivan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 22, 2006
NPI Deactivation Date June 25, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Sullivan, DC was a registered Chiropractor practicing in Dubuque, IA. Throughout an active medical career spanning 20 years, Dr. Sullivan provided care at the practice location at 2699 JOHN F KENNEDY RD until profile deactivation on 2026-06-25.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2699 John F Kennedy Rd

Dubuque, IA 520022838

Telephone 5635568600
Fax 5635568600
Associated Practice Facility / Clinic
🏢 Sullivan Chiropractic Pc Facility NPI 1114100880

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Dubuque, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.2 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
55 Specialists

Practicing in Dubuque, IA (2109 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
25.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
526 56 $50.00 $37.09

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License IA 04001

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1902865496

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated June 25, 2026

Record deactivated on June 25, 2026

NPI Profile Active December 17, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 17, 2012

Registered at 2699 JOHN F KENNEDY RD, DUBUQUE, IA 520022838 (Tel: 5635568600)

📍
Updated Business Mailing Address December 17, 2012

Registered at 2699 JOHN F KENNEDY RD, DUBUQUE, IA 520022838 (Tel: 5635568600)

👤
Provider Name / Credentials Updated December 17, 2012

Recorded as SAMUEL SULLIVAN, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2012

Chiropractor (License #04001 in IA)

🟢
Initial NPI Registration & Enumeration March 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Samuel Sullivan. Be the first to share your experience!

Sign in to leave a review for Dr. Samuel Sullivan

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1366401887
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2006
Last Update: December 17, 2012
Deactivation Date: June 25, 2026

Mailing Address

2699 John F Kennedy Rd

Dubuque, IA 520022838

Phone: 5635568600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.