Floss Dental Care LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

019021636 Issued in IL

Legal business name

FLOSS DENTAL CARE LLC

Practice address

18650 Dixie Highway
Homewood, IL 60430

Phone

(630) 339-3172

NPI assigned

Nov 25, 2014

Last updated

Jan 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alan J. Acierno, DDS

Title

Manager

Phone

(630) 339-3172

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1790182327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18650 DIXIE HIGHWAY",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "60430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18650 DIXIE HIGHWAY",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "60430",
            "telephone_number": "630-339-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOSS DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "ACIERNO",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-339-3172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "019021636",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "019028140",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO",
            "identifier": "019021636",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First Point Dental PC
• Rasheedah Fitzpatrick
• Rhonda J. Fleming, LPC
• Jacquelyn Marie Fletcher, DPT
• Walter Douglas Flor, DDS
• William Lamont Floyd
• Kimanne Foraker-Koons, MA, AMFT
• Jocelyn Justine Foust
• Cashmira Franklin
• Lexus Franklin

• Preferred Provider Organization in Homewood, IL
• Providers in Homewood, IL by specialty
• Preferred Provider Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.