Unknown Individual – Chiropractor, NPI 1962416388

Unknown Individual is a healthcare provider. based in Lake orion, Michigan. specializing in Chiropractor. They hold a License No. 2301002922 (MI). The NPI Number for Unknown Individual is 1962416388

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1962416388
Phone
Not provided
Address
524 FERNHURST CT
Deactivation Date
20 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1978 (48 years ago)
PAC ID
5698772838
Professional Enrollment ID
I20061031000236
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

  • 524 FERNHURST CT

    LAKE ORION, MI 483621416

    Phone:

    Type: Mailing

  • 530, Pine Street, C.O. Renshaw Addition, Rochester, Oakland County, Michigan, 48307, United States

    SUITE #2 & 3

    ROCHESTER, MI 483071482

    Phone: (248) 650-1998

    Fax: (248) 650-3114

    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.

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 48362)

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Provider's Procedures

Unknown Individual performs procedures in Chiropractor. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CHIROPRACTICMI98940Chiropractic manipulative treatment, 1-2 spinal regions5713

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1962416388 — is the standard way to identify this listing.
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 Lake Orion, Michigan in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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