Active NPI
Floss Academy, PLLC
- Pediatric Dentistry
- Chicago, IL
National Provider Identifier
1871373787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Deric Truskoski, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Dentistry
- Chicago, IL
- NPI 1891283636
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.