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Deactivated NPI 1093918401 Deactivated / Inactive NPI Male Practitioner

Dr. Daniel Patrick Sullivan , DC

Chiropractor • Providence, RI

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

Registration / Start Date June 06, 2007
NPI Deactivation Date January 28, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Sullivan, DC was a registered Chiropractor practicing in Providence, RI. Throughout an active medical career spanning 15 years, Dr. Sullivan provided care at the practice location at 222 BROADWAY until profile deactivation on 2022-01-28.

Practice Location & Contact Primary Location

Practice Address

222 Broadway

Providence, RI 02903

Telephone 4017517373
Fax 4017517090

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.5 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
46 Specialists

Practicing in Providence, RI (238 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 RI DC00435

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 1275672198

Doctor of Chiropractic

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 January 28, 2022

Record deactivated on January 28, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 222 BROADWAY, PROVIDENCE, RI 02903 (Tel: 4017517373)

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Updated Business Mailing Address July 08, 2007

Registered at 95 PENGUIN AVE, EAST GREENWICH, RI 02818 (Tel: 4012863943)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DANIEL SULLIVAN, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #DC00435 in RI)

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Initial NPI Registration & Enumeration June 06, 2007

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: 1093918401
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2007
Last Update: July 08, 2007
Deactivation Date: January 28, 2022

Mailing Address

95 Penguin Ave

East Greenwich, RI 02818

Phone: 4012863943

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.