Unknown Individual – Chiropractor, NPI 1194883264

Unknown Individual is a healthcare provider. based in Alexandria, Minnesota. specializing in Chiropractor. They hold a License No. 4377 (MN). The NPI Number for Unknown Individual is 1194883264

Main info

Organization
Inactive
24 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1194883264
Phone
(320) 352-5227
Address
460 NORTHSIDE DR NE
Deactivation Date
24 January 2024

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
9537052964
Professional Enrollment ID
I20110805000237
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

  • 460, Northside Drive Northeast, Alexandria, Douglas County, Minnesota, 56308, United States

    STE 10

    ALEXANDRIA, MN 563082486

    Phone: (320) 352-5227

    Fax: (320) 352-2865

    Type: Mailing

  • 857, Main Street South, Sauk Centre, Stearns County, Minnesota, 56378, United States

    SAUK CENTRE, MN 563781646

    Phone: (320) 352-5227

    Fax: (320) 352-2865

    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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions23421$0
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Insurance plans in this area (ZIP 56308)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1194883264?
NPI 1194883264 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Chiropractor. Clinical services aligned with this taxonomy classification.
Where in Minnesota is Unknown Individual registered?
Use Alexandria, Minnesota as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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