Unknown Individual – Orthopaedic Surgery Physician, NPI 1730126723

Unknown Individual is a healthcare provider. based in Overland park, Kansas. specializing in Orthopaedic Surgery Physician. They hold a License No. 2007001541 (MO). The NPI Number for Unknown Individual is 1730126723

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1730126723
Phone
(913) 649-7300
Address
5701 W 119th St
Deactivation Date
21 April 2021

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1979 (47 years ago)
PAC ID
5496780710
Professional Enrollment ID
I20051005000462
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 5701 W 119th St

    Suite 308

    Overland Park, KS 662093721

    Phone: (913) 649-7300

    Fax: (913) 385-5559

    Type: Location

  • 930 Carondelet Dr Ste 201

    Kansas City, MO 641144698

    Phone: (816) 941-2222

    Fax: (816) 941-2282

    Type: Location

  • 5721 W 119th St

    Overland Park, KS 662093722

    Phone: (913) 498-6000

    Type: Location

  • 4911, West 87th Terrace, Calvin Crest, Prairie Village, Johnson County, Kansas, 66207, United States

    PRAIRIE VILLAGE, KS 662072271

    Phone: (913) 649-7300

    Fax: (913) 385-5559

    Type: Mailing

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 66209)

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Provider's Procedures

Unknown Individual performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYKS22842Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments3936
ORTHOPEDIC SURGERYKS63048Partial removal of spine bone with release of spinal cord and/or nerves13575

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 1730126723 in the public NPI dataset.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Orthopaedic Surgery Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Overland Park, Kansas may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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