Active NPI
Richard R Flynn, M.D.
- Diagnostic Radiology Physician
- Salt Lake City, UT
National Provider Identifier
1487926341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 147230-1205
- Practice address
- 2342 Dallin St.
Salt Lake City, UT 84109 - Phone
- (801) 484-4593
- NPI assigned
- Feb 7, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 147230-1305 | UT | |
| Diagnostic Radiology Physician | 2085R0202X | 147230-1205 | UT | Primary |
Addresses
Primary practice location
2342 Dallin St.
Salt Lake City, UT 84109
Mailing address
2342 Dallin St.
Salt Lake City, UT 84109
Phone (801) 484-4593
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147230-1305 | UT | MD | Pediatric Adolescent Medicine Physician |
| 147230-1205 | UT | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328572800000",
"number": "1487926341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2342 DALLIN ST.",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84109",
"telephone_number": "801-484-4593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2342 DALLIN ST.",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84109",
"telephone_number": "801-484-4593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "RICHARD",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-07",
"last_updated": "2012-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "UT",
"license": "147230-1305",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "UT",
"license": "147230-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.