Unknown Individual – Chiropractor, NPI 1396701157

Unknown Individual is a healthcare provider. based in Elkhart, Indiana. specializing in Chiropractor. They hold a License No. 723 (IN). The NPI Number for Unknown Individual is 1396701157

Main info

Organization
Inactive
46 Years Of Experience
Name
Unknown Individual
NPI
1396701157
Phone
(574) 264-4151
Address
1424 JOHNSON ST
Deactivation Date
30 August 2025

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
5742644151
Graduation Year
1980 (46 years ago)
PAC ID
8426081530
Professional Enrollment ID
I20050917000483
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

  • 1424, Johnson Street, Elkhart, Elkhart County, Indiana, 46514, United States

    ELKHART, IN 465143404

    Phone: (574) 264-4151

    Fax: (574) 262-9891

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions3,738187$0
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Insurance plans in this area (ZIP 46514)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1396701157.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Chiropractor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Elkhart, Indiana as the reference point for Unknown Individual, then confirm.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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