Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jacob Sullivan

Dentist in Kirtland Afb, NM · enumerated 2020.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1922633080

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Registry record

Entity type Individual (Type 1)

Name Jacob Sullivan

Sex Male

Practice address 2050a 2nd St Se, Kirtland Afb, NM, 87117

Phone (505) 846-3200

Enumeration date Mar 10, 2020

Last updated in NPPES Sep 28, 2021

Taxonomy & licenses

122300000X Dentist Dental Providers · License D010709 (AZ) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Jacob Sullivan?

Jacob Sullivan is registered in NPPES with the primary taxonomy of Dentist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

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Michael Lavin Clinical Psychologist · Kirtland Afb, NM NPI 1831193291 Susan Roberts Family Medicine Physician · Kirtland Afb, NM NPI 1437158896 James Reynolds General Practice Dentistry · Albuquerque, NM NPI 1295736056 Christopher Borchardt Aerospace Medicine Physician · Albuquerque, NM NPI 1609869379 Irene Folaron Endocrinology, Diabetes & Metabolism Physician · Kirtland Afb, NM NPI 1568451938 Kenneth Egerstrom Aerospace Medicine Physician · Kirtland Afb, NM NPI 1497739098 Becky Azama Physical Therapist · Kirtland Afb, NM NPI 1245215326 David Sproat Family Medicine Physician · Kirtland Afb, NM NPI 1952388688

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-09-28.