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Dr. Robert Joseph O'sullivan , DDS

Dentist - General Practice β€’ Nome, AK

Active NPI 1295464220 Individual Practitioner Male Practitioner
Practice location in NPPES

1000 Greg Kruschek Avenue
Nome, AK 99762

Call 9074433311 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1000 Greg Kruschek Avenue

Nome, AK 99762

Telephone 9074433311
Organization at the Same NPPES Address or Phone
Norton Sound Health Corp Facility NPI 1013036904

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Nome and Alaska

5 active clinicians are listed under Dentist - General Practice with a practice address in Nome, AK (328 in Alaska).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-07-26
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES IL 019.033694

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES MT DEN-DEN-LIC-23667

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES WI 6001012-15

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Alaska State Medical Licensing Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
Molly Booy

Family Medicine

NPI 1811429640
NPI 1588636070

Doctor of Medicine (M.D.)

Richelle Fisher , PA-C

Physician Assistant

NPI 1164495719

Physician Assistant (Certified)

Dr. Logan Huff , DO

Family Medicine

NPI 1003264029

Doctor of Osteopathic Medicine (D.O.)

Nicole La Bombarda , PA-C

Physician Assistant

NPI 1972743748

Physician Assistant (Certified)

Dr. Lakhbir Madahar , MD

Internal Medicine

NPI 1780119834

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 03, 2022

Registered at 1000 GREG KRUSCHEK AVENUE, NOME, AK 99762 (Tel: 9074433311)

πŸ“
Updated Business Mailing Address August 03, 2022

Registered at 1000 GREG KRUSCHEK AVENUE, NOME, AK 997628754 (Tel: 9074433311)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2022

Dentist (license number reported to NPPES: MT DEN-DEN-LIC-23667)

βœ…
NPI Profile Active June 06, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 06, 2022

Registered at 589 ABERDEEN RD, FRANKFORT, IL 604238754 (Tel: 7082808803)

πŸ“
Business Mailing Address (Initial Record) June 06, 2022

Registered at 589 ABERDEEN RD, FRANKFORT, IL 604238754 (Tel: 7082808803)

πŸ‘€
Provider Name / Credentials (Initial Record) June 06, 2022

Recorded as ROBERT O'SULLIVAN, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2022

Dentist (license number reported to NPPES: IL 019.033694)

🟒
Initial NPI Registration & Enumeration June 06, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1295464220
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2022
Last Update: August 03, 2022
Sole Proprietor: Yes

Mailing Address

1000 Greg Kruschek Avenue

Nome, AK 997628754

Phone: 9074433311

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.