Organization Active NPI

FLX Periodontics

  • Periodontics
  • Pittsford, NY
National Provider Identifier
1407630692
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
FLX PERIODONTICS
Practice address
600 Kreag Road
Pittsford, NY 14534
Phone
(585) 248-8195
NPI assigned
Aug 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Suresh Narain Goel, DDS
Title
Owner/Ceo
Phone
(585) 899-6121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

600 Kreag Road
Pittsford, NY 14534

Mailing address

151 Sully'S Trail Suite 1
Pittsford, NY 14534
Phone (585) 248-8195

National Provider Directory

National Provider Directory

Locations

151 Sullys Trl
Ste 1
Pittsford, NY 14534
Phone (585) 385-4867

600 Kreag Rd
Pittsford, NY 14534
Phone (585) 248-2494

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1407630692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SULLY'S TRAIL SUITE 1",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "14534",
            "telephone_number": "585-248-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 KREAG ROAD",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "14534",
            "telephone_number": "585-248-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLX PERIODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "GOEL",
        "authorized_official_first_name": "SURESH",
        "authorized_official_middle_name": "NARAIN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "585-899-6121",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.