Marcus Keating Flynn, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60864282 Issued in WA

Practice address

12917 SE 38TH St Ste 202
Bellevue, WA 98006-1349

Phone

(425) 747-8052

NPI assigned

Jul 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marcus K. Flynn DDS PLLC

  • Dental Clinic/Center
  • Bellevue, WA
  • NPI 1023845864
  NPD Authorized official
• Mark L Dire DDS P.S.

  • General Practice Dentistry
  • Bellevue, WA
  • NPI 1164529301
  NPD (past)

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1194201574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14250 209TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980775664",
            "telephone_number": "206-992-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12917 SE 38TH ST STE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061349",
            "telephone_number": "425-747-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "MARCUS",
        "middle_name": "KEATING",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60864282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flourish Physical Therapy
• Otero Flowers, MD
• Naomi Umehara Floyd, LAC
• Linda M Fluke, ARNP
• Donna J Flynn, LICSW LW00006426 WA
• Nicole Michelle Flynn, LICSW
• Ashley Marie-Louise Fogwell, ASHLEY FOGWELL
• Amy Melissa Foley, AU.D.
• Anne Marie Fombu
• Lisa Nicole Fomenoff, D.C.

• General Practice Dentistry in Bellevue, WA
• Providers in Bellevue, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.