Active NPI
Steven Anthony Flynn, B.O.C.O., C.F.O.
- Orthotist
- North Little Rock, AR
National Provider Identifier
1053564682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- Practice address
- 2200 Fort Roots Dr
BLDG. 89, Rm101
North Little Rock, AR 72114-1709 - Phone
- (501) 257-1610
- Fax
- (501) 257-1624
- NPI assigned
- Oct 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | Primary |
Addresses
Primary practice location
2200 Fort Roots Dr
BLDG. 89, Rm101
North Little Rock, AR 72114-1709
Mailing address
21616 N Mill Rd
Little Rock, AR 72206-9457
Phone (501) 257-1610
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BOC36416 | Other | BOARD OF CERTIFICATION | |
| CF00389 | Other | AMERICAN BOARD FOR CERTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1053564682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21616 N MILL RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722069457",
"telephone_number": "501-257-1610",
"fax_number": "501-257-1624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 FORT ROOTS DR",
"address_2": "BLDG. 89, RM101",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721141709",
"telephone_number": "501-257-1610",
"fax_number": "501-257-1624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "STEVEN",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "B.O.C.O., C.F.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-28",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CERTIFICATION",
"identifier": "BOC36416",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN BOARD FOR CERTIFICATION",
"identifier": "CF00389",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.