Active NPI
Michael C Flint, DC
- Chiropractor
- San Diego, CA
National Provider Identifier
1679659452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 21321
- Practice address
- 3587 Meade Ave
San Diego, CA 92116 - Phone
- (619) 283-5963
- Fax
- (619) 283-5964
- NPI assigned
- Oct 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 21321 | CA | Primary |
Addresses
Primary practice location
3587 Meade Ave
San Diego, CA 92116
Mailing address
3587 Meade Ave
San Diego, CA 92116
Phone (619) 283-5963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081208000000 | CA | Practitioner - Chiropractic | 9032270277 | Practice locations: San Diego, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1679659452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3587 MEADE AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92116",
"telephone_number": "619-283-5963",
"fax_number": "619-283-5964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3587 MEADE AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92116",
"telephone_number": "619-283-5963",
"fax_number": "619-283-5964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLINT",
"first_name": "MICHAEL",
"middle_name": "C",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "21321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.