Active NPI
John T Flynn, D.C.
- Chiropractor
- Englewood, FL
National Provider Identifier
1376571554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 4391
- Practice address
- 77 W Dearborn St
Englewood, FL 34223-3234 - Phone
- (941) 475-1974
- Fax
- (941) 475-3657
- NPI assigned
- Jun 28, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 4391 | FL | Primary |
Addresses
Primary practice location
77 W Dearborn St
Englewood, FL 34223-3234
Mailing address
PO Box 1534
Englewood, FL 34295-1534
Phone (941) 475-1974
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111222000129 | FL | Practitioner - Chiropractic | 5698941623 | Practice locations: Englewood, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
77 W Dearborn St
Englewood, FL 34223-3234
Phone (941) 475-1974
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 4391 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361318400000",
"number": "1376571554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1534",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342951534",
"telephone_number": "941-475-1974",
"fax_number": "941-475-3657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 W DEARBORN ST",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342233234",
"telephone_number": "941-475-1974",
"fax_number": "941-475-3657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "JOHN",
"middle_name": "T",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2013-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 4391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Englewood, FL
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.