Individual provider Active NPI

David Carroll Flynn, D.C.

  • Chiropractor
  • Tyler, TX
National Provider Identifier
1932267036
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10444 Issued in TX
Practice address
6573 Old Jacksonville Hwy Ste 100
Tyler, TX 75703-0575
Phone
(903) 617-6106
Fax
(903) 617-6857
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10444 TX Primary

Addresses

Primary practice location

6573 Old Jacksonville Hwy Ste 100
Tyler, TX 75703-0575

Mailing address

6573 Old Jacksonville Hwy Ste 100
Tyler, TX 75703
Phone (039) 617-6106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141216000076 TX Practitioner - Chiropractic 2264754605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flynn Chiropractic PCGroup PAC ID 1355663790, 2 clinicians

Practice addresses (Care Compare)

6573 Old Jacksonville Hwy
Suite 100
Tyler, TX 75703-0722
Phone (903) 617-6106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10444TXMDCommunity/Retail Pharmacy

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1932267036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6573 OLD JACKSONVILLE HWY STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75703",
            "telephone_number": "039-617-6106",
            "fax_number": "903-617-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6573 OLD JACKSONVILLE HWY STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030575",
            "telephone_number": "903-617-6106",
            "fax_number": "903-617-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "DAVID",
        "middle_name": "CARROLL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.

Verify at the official NPI Registry.