Unknown Individual – Chiropractor, NPI 1902945017

Unknown Individual is a healthcare provider. based in Wolcott, Connecticut. specializing in Chiropractor. They hold a License No. 146 (CT). The NPI Number for Unknown Individual is 1902945017

Main info

Organization
Inactive
58 Years Of Experience
Name
Unknown Individual
NPI
1902945017
Phone
(203) 879-3111
Address
800 WOODTICK RD
Deactivation Date
18 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2038793111
Graduation Year
1968 (58 years ago)
PAC ID
6507922713
Professional Enrollment ID
I20110511000460
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 800 WOODTICK RD

    WOLCOTT, CT 067162521

    Phone: (203) 879-3111

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06716)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1902945017 in the public NPI dataset.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Chiropractor. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Wolcott, Connecticut in our summary view.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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DAVID YURGAITIS

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800 WOODTICK RD
NPI: 1245549633