Individual provider Active NPI

David Marcos Flynn, MS, RD, LD

  • Registered Dietitian
  • San Antonio, TX
National Provider Identifier
1447712252
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD004988 Issued in GA
Practice address
2466 Ladd St
San Antonio, TX 78236-5310
Phone
(912) 660-1882
NPI assigned
Apr 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD004988 GA Primary

Addresses

Primary practice location

2466 Ladd St
San Antonio, TX 78236-5310

Mailing address

2778 Meadowview Dr SE
Atlanta, GA 30316-4324
Phone (912) 660-1882

Other practice location 1

2778 Meadowview Dr SE
Atlanta, GA 30316-4324
Phone (912) 660-1882

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LD004988GAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1447712252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2778 MEADOWVIEW DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303164324",
            "telephone_number": "912-660-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2466 LADD ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782365310",
            "telephone_number": "912-660-1882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2778 Meadowview Dr SE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303164324",
            "country_code": "US",
            "telephone_number": "912-660-1882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "DAVID",
        "middle_name": "MARCOS",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD004988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.