Jacob Sullivan
NPI 1922633080 · Dentist · Kirtland Afb, NM
Jacob Sullivan is a Dentist provider in Kirtland Afb, NM (NPI 1922633080).
Provider details
- NPI number
- 1922633080
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- D010709 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
6 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$48 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-03-10
- Last updated
- 2021-09-28
- Certified
- 2021-09-13
Frequently asked questions
- What is Jacob Sullivan's NPI number?
- Jacob Sullivan's National Provider Identifier (NPI) is 1922633080, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Sullivan's specialty?
- Jacob Sullivan is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jacob Sullivan located?
- Jacob Sullivan's practice location on file with NPPES is 2050a 2nd St Se, Kirtland Afb, NM 87117-5522.
- What is Jacob Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Jacob Sullivan is (505) 846-3200.
- Is Jacob Sullivan's NPI active?
- Yes — Jacob Sullivan's NPI (1922633080) is active in the NPPES registry as of the last update on 2021-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.