NPIMap

Organization Active NPI

Radiant Flux PLLC

  • Dentist
  • Richmond, VA
National Provider Identifier
1710794185
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RADIANT FLUX PLLC
Doing business as
Center for Sleep &TMJ
Practice address
8730 Stony Point Pkwy Ste 240
Richmond, VA 23235-1984
Phone
(757) 929-7100
Fax
(757) 929-7097
NPI assigned
Dec 18, 2024
Organization subpart
Yes
Parent organization
RADIANT FLUX PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Brian Gene Briesemeister, DDS
Title
Owner
Phone
(757) 484-1444

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

8730 Stony Point Pkwy Ste 240
Richmond, VA 23235-1984

Mailing address

8730 Stony Point Pkwy Ste 240
Richmond, VA 23235-1984
Phone (757) 929-7100

Other names 1

  • Center for Sleep &TMJ Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250604002080 VA DME Supplier - Oral Surgery - Dentist 6709263478 Practice locations: Richmond, VA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Radiant Flux PLLC5 organizations share this tax ID, including this one
Part of
Radiant Flux PLLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1301 Bridgeport Way
Ste 109
Suffolk, VA 23435
Phone (757) 484-1444

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1710794185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8730 STONY POINT PKWY STE 240",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351984",
            "telephone_number": "757-929-7100",
            "fax_number": "757-929-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 STONY POINT PKWY STE 240",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351984",
            "telephone_number": "757-929-7100",
            "fax_number": "757-929-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT FLUX PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADIANT FLUX PLLC",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "BRIESEMEISTER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-484-1444",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Sleep &TMJ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.

Verify at the official NPI Registry.