ALFRED FLINT, DVM, PhD — NPI 1104291475 (Licensed & Credentialed Veterinarian in THREE FORKS, MT)

CMS-1500 Box 24J / 33a • NPI

1104291475

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

174M00000X

Licensed & Credentialed Veterinarian

Box 32 Service Location & ZIP+4

3934 FRONTAGE RD, THREE FORKS, MT, 59752-8501

✓ 9-Digit EDI 837 ZIP+4 (59752-8501)

Practice Phone & Referral Fax

(406) 285-0123

Fax: (406) 285-6941

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1104291475 (ALFRED FLINT, DVM, PhD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1104291475` (NPI-1 Individual Practitioner)
Provider / Legal Name	ALFRED FLINT, DVM, PhD
Plain-English Specialty	Licensed & Credentialed Veterinarian NUCC Code: `174M00000X` (Veterinarian)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3934 FRONTAGE RD, THREE FORKS, MT, 59752-8501
Practice Telephone / Fax	Tel: (406) 285-0123 \| Fax: (406) 285-6941
Administrative Mailing Address	3934 FRONTAGE RD, THREE FORKS, MT, 59752-8501
Enumeration & Last Sync	Enumerated: 2015-12-11 \| CMS Record Updated: 2015-12-11

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3934 FRONTAGE RD, THREE FORKS, MT, 59752-8501

🗺️ Open in Google Maps 🏥 More Providers in THREE FORKS

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Plain-English Taxonomy & CMS Crosswalk (174M00000X)

What Does Taxonomy Code 174M00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 174M00000X translates to:
"Licensed & Credentialed Veterinarian"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Veterinarian for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALFRED FLINT, DVM, PhD)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`174M00000X` — Veterinarian Plain English: Licensed & Credentialed Veterinarian	State: MT \| License: `MT2045` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ALFRED FLINT, DVM, PhD (NPI #1104291475)