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Deactivated NPI 1215981154 Deactivated / Inactive NPI Male Practitioner

Dr. John J Sullivan , DC

Chiropractor • Lafayette, LA

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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. John Sullivan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 22, 2006
NPI Deactivation Date August 09, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. John Sullivan, DC was a registered Chiropractor practicing in Lafayette, LA. Throughout an active medical career spanning 15 years, Dr. Sullivan provided care at the practice location at 109 INDEPENDENCE BLVD until profile deactivation on 2021-08-09.

Practice Location & Contact Primary Location

Practice Address

109 Independence Blvd

Lafayette, LA 705066086

Telephone 3379849276
Fax 3379849012
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Lafayette, LA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.1 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
70 Specialists

Practicing in Lafayette, LA (830 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License LA 783

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
Joseph Ware

Chiropractor

NPI 1104759729

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 09, 2021

Record deactivated on August 09, 2021

NPI Profile Active August 09, 2012

NPI status registered as active in NPPES database

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Updated Practice Location August 09, 2012

Registered at 109 INDEPENDENCE BLVD, LAFAYETTE, LA 705066086 (Tel: 3379849276)

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Updated Business Mailing Address August 09, 2012

Registered at 109 INDEPENDENCE BLVD, LAFAYETTE, LA 705066086 (Tel: 3379849276)

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Provider Name / Credentials Updated August 09, 2012

Recorded as JOHN SULLIVAN, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2012

Chiropractor (License #783 in LA)

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Initial NPI Registration & Enumeration May 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215981154
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2006
Last Update: August 09, 2012
Deactivation Date: August 09, 2021

Mailing Address

109 Independence Blvd

Lafayette, LA 705066086

Phone: 3379849276

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.