NPIMap

Organization Active NPI

Flynn Dentistry Kaysville, Inc.

  • Dentist
  • Kaysville, UT
National Provider Identifier
1013209170
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5097188-9922 Issued in UT
Legal business name
FLYNN DENTISTRY KAYSVILLE, INC.
Practice address
206 S Main St
Kaysville, UT 84037-2503
Phone
(801) 497-0619
Fax
(801) 497-0316
NPI assigned
May 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert M. Flynn, D.M.D.NPI 1154341030
Title
Managing Member
Phone
(801) 497-0619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5097188-9922 UT Primary

Addresses

Primary practice location

206 S Main St
Kaysville, UT 84037-2503

Mailing address

206 S Main St
Kaysville, UT 84037-2503
Phone (801) 497-0619

National Provider Directory

National Provider Directory

Locations

206 S Main St
Kaysville, UT 84037
Phone (801) 497-0619

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1013209170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S MAIN ST",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840372503",
            "telephone_number": "801-497-0619",
            "fax_number": "801-497-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S MAIN ST",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840372503",
            "telephone_number": "801-497-0619",
            "fax_number": "801-497-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLYNN DENTISTRY KAYSVILLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "801-497-0619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "5097188-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaysville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.