Individual provider Active NPI

A. Patrick Flynn, D,M,D

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1013950013
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2794 Issued in DC
Practice address
1111 19TH St NW
Suite 203
Washington, DC 20036-3603
Phone
(202) 293-5443
NPI assigned
Jun 14, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2794 DC Primary

Addresses

Primary practice location

1111 19TH St NW
Suite 203
Washington, DC 20036-3603

Mailing address

1111 19TH St NW
Suite 203
Washington, DC 20036-3603
Phone (202) 293-5443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160531000535 DC Order and Referring Only - DentistPractitioner - Dentist 5890085062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2794DCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013950013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 19TH ST NW",
            "address_2": "SUITE 203",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363603",
            "telephone_number": "202-293-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 19TH ST NW",
            "address_2": "SUITE 203",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363603",
            "telephone_number": "202-293-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "A.",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D,M,D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "2794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.