Individual provider Active NPI

Derrick M Flint, M.D., D.D.S

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Austin, TX
National Provider Identifier
1265493373
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
P3622 Issued in TX
Practice address
5301 Davis LN BLDG A102
Austin, TX 78749-4061
Phone
(512) 838-3118
Fax
(512) 888-3109
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 27674 TX
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X P3622 TX Primary

Addresses

Primary practice location

5301 Davis LN BLDG A102
Austin, TX 78749-4061

Mailing address

521 Parnassus Ave RM C-522
San Francisco, CA 94143-2206
Phone (415) 476-8221

Other practice location 1

119 Cimarron Park Loop Ste C
Buda, TX 78610-2839
Phone (512) 838-3118

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
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Derrick D Flint, MD, DDS, PLLC Oral and Maxillofacial Surgery CurrentSince Jun 15, 2025 Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients
Derrick D Flint, MD, DDS, PLLC Oral and Maxillofacial Surgery PastSince Jun 15, 2025 Accepting new patients
Austin Surgical Arts Oral & Maxillofacial Surgery Past Accepting new patients

Locations

5301 Davis Ln
Bldg A102
Austin, TX 78749
Phone (512) 838-3118

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1265493373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 PARNASSUS AVE RM C-522",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432206",
            "telephone_number": "415-476-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 DAVIS LN BLDG A102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787494061",
            "telephone_number": "512-838-3118",
            "fax_number": "512-888-3109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Cimarron Park Loop Ste C",
            "address_purpose": "LOCATION",
            "city": "Buda",
            "state": "TX",
            "postal_code": "786102839",
            "country_code": "US",
            "telephone_number": "512-838-3118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLINT",
        "first_name": "DERRICK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D., D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "27674",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "P3622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.