Organization Active NPI

Floss Academy, PLLC

  • Pediatric Dentistry
  • Chicago, IL
National Provider Identifier
1871373787
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
FLOSS ACADEMY, PLLC
Practice address
1448 W Madison St Ste 1
Chicago, IL 60607-1822
Phone
(312) 584-0447
NPI assigned
Sep 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Dr. Deric Truskoski, DMDNPI 1891283636
Title
Manager
Phone
(815) 830-2809

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1448 W Madison St Ste 1
Chicago, IL 60607-1822

Mailing address

1448 W Madison St Ste 1
Chicago, IL 60607-1822
Phone (312) 584-0447

Other names 1

  • Floss Academy Pediatric Dentistry & Tongue-Tie Center Doing business as

National Provider Directory

National Provider Directory

Locations

1448 W Madison St
Ste 1
Chicago, IL 60607
Phone (312) 584-0447

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1871373787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 W MADISON ST STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071822",
            "telephone_number": "312-584-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 W MADISON ST STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071822",
            "telephone_number": "312-584-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOSS ACADEMY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "TRUSKOSKI",
        "authorized_official_first_name": "DERIC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "815-830-2809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Floss Academy Pediatric Dentistry & Tongue-Tie Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.