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Dr. Cody Lee Sullivan , DDS

Dentist β€’ Camp Pendleton, CA

Active NPI 1942795877 Individual Practitioner Male Practitioner
Practice location in NPPES

200 Mercy Circle
Camp Pendleton, CA 920555191

Call 7607253417 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

200 Mercy Circle

Camp Pendleton, CA 920555191

Telephone 7607253417
Organization at the Same NPPES Address or Phone
Nh Camp Pendleton Facility NPI 1386604387

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

Open Payments general payments, program year 2022

All general payments: $49.93 across 2 records.

By nature of payment

  • Food and Beverage: $49.93 across 2 records.

Reporting-company totals

  • ZIMVIE INC.: $49.93 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2022 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2018

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 Camp Pendleton and California

39 active clinicians are listed under Dentist with a practice address in Camp Pendleton, CA (14,738 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Camp Pendleton

0% of these 39 clinicians have the CMS telehealth indicator.

0% of these 39 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2022

Program year 2022 (payments made January 1 – December 31, 2022): fewer than 11 records totaling $49.93.

Manufacturer Payment Nature Product Type Amount ($)
ZIMVIE INC.
Food and Beverage
In-kind items and services
3i T3 General $29.73
ZIMVIE INC.
Food and Beverage
In-kind items and services
3i T3 General $20.20

Source: CMS Open Payments, program year 2022, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-01-31
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES MO 2018021980

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

License # reported to NPPES VA 0401418537

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

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: Medical Board of California.
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.

32 listed
NPI 1972863884

Doctor of Medicine (M.D.), Master of Science

Dr. Bryce Bowers , DO

Family Medicine

NPI 1689233470

Doctor of Osteopathic Medicine (D.O.)

NPI 1265724553

Doctor of Medicine (M.D.)

Luke Bynum , PT

Physical Therapist

NPI 1346654787

Physical Therapist

Dr. Christopher Cochran , MD

Orthopaedic Surgery

NPI 1366781585

Doctor of Medicine (M.D.)

Diane Daniels , NP

Nurse Practitioner

NPI 1376613315

Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Business Mailing Address February 03, 2025

Registered at 200 MERCY CIRCLE, CAMP PENDLETON, CA 92005 (Tel: 7607253879)

πŸ“
Updated Practice Location August 15, 2024

Registered at 200 MERCY CIRCLE, CAMP PENDLETON, CA 920555191 (Tel: 7607253417)

πŸ“
Updated Business Mailing Address August 15, 2024

Registered at 6892 EMBARCADERO LN, CARLSBAD, CA 920113227 (Tel: 3149602064)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2024

Dentist (license number reported to NPPES: VA 0401418537)

βœ…
NPI Profile Active June 23, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 23, 2018

Registered at 620 JOHN PAUL JONES CIR BLDG 1, PORTSMOUTH, VA 237082111 (Tel: 7579537591)

πŸ“
Business Mailing Address (Initial Record) June 23, 2018

Registered at 107 CHESTERFIELD RD, HAMPTON, VA 236613210 (Tel: 3149602064)

πŸ‘€
Provider Name / Credentials (Initial Record) June 23, 2018

Recorded as CODY SULLIVAN, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2018

Dentist (license number reported to NPPES: MO 2018021980)

🟒
Initial NPI Registration & Enumeration June 23, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1942795877
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2018
Last Update: February 03, 2025
Sole Proprietor: No

Other Dentists in Camp Pendleton

Mailing Address

200 Mercy Circle

Camp Pendleton, CA 92005

Phone: 7607253879

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.