Unknown Individual – Chiropractor, NPI 1942235890

Unknown Individual is a healthcare provider. based in Novi, Michigan. specializing in Chiropractor. They hold a License No. 2301009104 (MI). The NPI Number for Unknown Individual is 1942235890

Main info

Organization
Inactive
21 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1942235890
Phone
(248) 787-4163
Address
42040 GRAND RIVER
Deactivation Date
24 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8106246111
Graduation Year
2005 (21 years ago)
PAC ID
2860409786
Group Practice PAC ID
6709852338
Professional Enrollment ID
I20060316000457
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

  • Hyatt Place Detroit/Novi, 46080, Grand River Avenue, Novi, Oakland County, Michigan, 48374, United States

    NOVI, MI 48375

    Phone: (248) 787-4163

    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 48375)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1942235890.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Chiropractor. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Novi, Michigan?
If you are local to Novi, Michigan, Unknown Individual may be relevant to your search.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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