Floss Dental Studio PC

Primary specialty

DentistTaxonomy code 122300000X

License

019025071 Issued in IL

Legal business name

FLOSS DENTAL STUDIO PC

Practice address

924 N Damen Ave
Chicago, IL 60622-4948

Phone

(773) 235-2322

Fax

(773) 235-2332

NPI assigned

Mar 24, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Ann Radeka, DMDNPI 1861413791

Title

Owner/Pres/Dentist

Phone

(773) 235-2322

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Ann Radeka, DMD

  • Dentist
  • Chicago, IL
  • NPI 1861413791
  NPD (past) Authorized official

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1851785224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221018",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606220008",
            "telephone_number": "773-235-2322",
            "fax_number": "773-235-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224948",
            "telephone_number": "773-235-2322",
            "fax_number": "773-235-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOSS DENTAL STUDIO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "RADEKA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PRES/DENTIST",
        "authorized_official_telephone_number": "773-235-2322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025071",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Joseph Flosi, PT, DPT
• Frank Christian Floski, LPC
• Floss Academy, PLLC
• Floss and Company, PC
• Floss and Orthodontics, LLC
• Floss Lincoln Park PLLC
• Flossone, PLLC
• Jane Flotte, LSW
• Flourish Care Home Services, LLC
• Flourish Counseling & Wellness, LTD.

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.