Unknown Individual – Chiropractor, NPI 1003805656

Unknown Individual is a healthcare provider. based in Delray beach, Florida. specializing in Chiropractor. They hold a License No. CH5678 (FL). The NPI Number for Unknown Individual is 1003805656

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1003805656
Phone
(561) 266-8900
Address
2605 W ATLANTIC AVE
Deactivation Date
17 August 2022

Doctor Profile

Medical School Name
NEW YORK CHIROPRACTIC COLLEGE
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
4880769454
Professional Enrollment ID
I20080815000326
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

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Provider Addresses for Unknown Individual

  • 2605, West Atlantic Avenue, Kingsland, Delray Beach, Palm Beach County, Florida, 33445, United States

    SUITE A101

    DELRAY BEACH, FL 334454413

    Phone: (561) 266-8900

    Fax: (561) 266-8900

    Type: Mailing

  • 4811, West Atlantic Avenue, Delray Beach, Palm Beach County, Florida, 33445, United States

    #20

    DELRAY BEACH, FL 334453840

    Phone: (561) 496-7106

    Fax: (561) 496-7108

    Type: Location

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.

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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.

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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 33445)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1003805656 if you need a stable reference for Unknown Individual.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Chiropractor. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Delray Beach, Florida for Unknown Individual; expand the address list for detail.
What if Delray Beach, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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Unknown Individual

Chiropractor
13550 JOG RD
NPI: 1861447559
6311 VIA VENETIA N
NPI: 1689615858