Jacob Sullivan
NPI 1922633080ActiveIndividual· Dentist· Kirtland Afb, NM
Dentist in Kirtland Afb, New Mexico, licensed in AZ, with an NPI issued in March 2020. Zimvie Inc. reported $47.70 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1922633080 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 10, 2020 |
| Last updated in NPPES | Sep 28, 2021 |
| Certified by provider | Sep 13, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | D010709 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
- 2024$47.70 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Zimvie Inc. | $47.70 | 1 |
What the 2024 payments were for
- Food and Beverage$47.70 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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