Active NPI
J.Michael Flynn, D.C.
- Chiropractor
- Houma, LA
National Provider Identifier
1154371219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 277
- Practice address
- 567 Corporate Dr
Houma, LA 70360-2834 - Phone
- (985) 223-3811
- Fax
- (985) 223-3877
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 277 | LA | Primary |
Addresses
Primary practice location
567 Corporate Dr
Houma, LA 70360-2834
Mailing address
567 Corporate Dr
Houma, LA 70360-2834
Phone (985) 223-3811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1938793 | Medicaid | LA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277 | LA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282089600000",
"number": "1154371219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "567 CORPORATE DR",
"city": "HOUMA",
"state": "LA",
"postal_code": "703602834",
"telephone_number": "985-223-3811",
"fax_number": "985-223-3877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "567 CORPORATE DR",
"city": "HOUMA",
"state": "LA",
"postal_code": "703602834",
"telephone_number": "985-223-3811",
"fax_number": "985-223-3877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "J.MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2010-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "277",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1938793",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.