Shannon Sullivan, DDS
NPI 1407267164 · Dentist · New York, NY
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Sullivan, DDS is a Dentist provider in New York, NY (NPI 1407267164).
Provider details
- NPI number
- 1407267164
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 024571 (OH)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-05-15
- Last updated
- 2016-09-14
Frequently asked questions
- What is Shannon Sullivan's NPI number?
- Shannon Sullivan's National Provider Identifier (NPI) is 1407267164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Sullivan's specialty?
- Shannon Sullivan is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Shannon Sullivan located?
- Shannon Sullivan's practice location on file with NPPES is 100 Haven Ave, New York, NY 10032-2645.
- What is Shannon Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Shannon Sullivan is (212) 342-0107.
- Does Shannon Sullivan accept Medicare?
- Shannon Sullivan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Sullivan's NPI active?
- Yes — Shannon Sullivan's NPI (1407267164) is active in the NPPES registry as of the last update on 2016-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.