Walter M Flynn, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

027495-1 Issued in NY

Practice address

2 Tee LN
Red Hook, NY 12571-2445

Phone

(845) 758-6753

NPI assigned

May 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871701045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TEE LN",
            "city": "RED HOOK",
            "state": "NY",
            "postal_code": "125712445",
            "telephone_number": "845-758-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TEE LN",
            "city": "RED HOOK",
            "state": "NY",
            "postal_code": "125712445",
            "telephone_number": "845-758-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "WALTER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "027495-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Farias, RD
• Juan Constantino Fernandez, MD
• Justine Fichera
• Trisha Finch, CCC-SLP
• Manuel Enrique Flores, DC
• Monique Folchetti, COTA/L
• Kristina Marie Forrest
• Colleen M. Foster, MSED.
• Ford Francis Franklin, D.C.
• Susan Frisenda

• General Practice Dentistry in Red Hook, NY
• Providers in Red Hook, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.