Dustin Flynn, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2016029415 Issued in MO

Practice address

541 Huntley Heights Dr
Ballwin, MO 63021-5884

Phone

(636) 686-5278

NPI assigned

Jul 9, 2020

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1306464011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 HUNTLEY HEIGHTS DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630215884",
            "telephone_number": "636-686-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 HUNTLEY HEIGHTS DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630215884",
            "telephone_number": "636-686-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "DUSTIN",
        "credential": "ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2016029415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Marie Feltner
• Sophia J Finder, RDN
• Nolan Brian Finney
• Fitzpatrick Pharmacy Inc
• Jocelyn M Flowers, MA
• Nancy Patterson Flynn, MS, ATC, CSCS
• Foot & Ankle Center, LLC (F & A Center Clarkson Valley)
• Foot Healers Holdings - St. Louis, LLC (Foot Healers)
• Vanessa Marie Forister, PLBA
• Emily Forrest

• Athletic Trainer in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.