Unknown Individual – Sports Physician Chiropractor, NPI 1811974256

Unknown Individual is a healthcare provider. based in New prague, Minnesota. specializing in Sports Physician Chiropractor. They hold a License No. 1846 (MN). The NPI Number for Unknown Individual is 1811974256

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1811974256
Phone
(952) 758-4121
Address
314 MAIN ST E
Deactivation Date
28 January 2022

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
9527584121
Graduation Year
1982 (44 years ago)
PAC ID
2163529330
Professional Enrollment ID
I20070523000122
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

Loading map...

Provider Addresses for Unknown Individual

  • 314, Main Street East, New Prague, Le Sueur County, Minnesota, 56071, United States

    SUITE 1

    NEW PRAGUE, MN 560712448

    Phone: (952) 758-4121

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 56071)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1811974256 is assigned to Unknown Individual under the national enumeration system.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Sports Physician Chiropractor for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display New Prague, Minnesota because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1811974256. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

DR. SARA JEAN CUPERUS (D.C.)

Sports Physician Chiropractor
2380, Troop Drive, Sartell, Stearns County, Minnesota, 56377, United States
NPI: 1528064342

DR. KATHRYN MARIE KNAFLA (D.C., C.C.S.P)

Sports Physician Chiropractor
900 S RUM RIVER DR STE 102
NPI: 1417943879

DR. CRAIG ALAN COUILLARD (DC)

Sports Physician Chiropractor
9202, 202nd Street West, Lakeville, Dakota County, Minnesota, 55044, United States
NPI: 1497741185

DR. GERALD WANE RUPP (D.C.)

Sports Physician Chiropractor
314, East 2nd Street, Hastings, Dakota County, Minnesota, 55033, United States
NPI: 1700875531

DR. CHARLES R COOK (D. C.)

Sports Physician Chiropractor
108, Creek Ln South, Jordan, Scott County, Minnesota, 55352, United States
NPI: 1134189202

BRENT SCHEIDEMAN (D.C.)

Sports Physician Chiropractor
PO BOX 265
NPI: 1013965664

DR. JASON LAVERN EGGERS (MD, DC)

Sports Medicine (Physical Medicine & Rehabilitation) Physician
Verizon Minnesota Vikings Training Facility, Northwest Parkway, Eagan, Dakota County, Minnesota, 55120, United States
NPI: 1275581795

DR. CHRISTOPHER P MASSOGLIA (D.C.)

Sports Physician Chiropractor
3640 Talmage Cir Ste 216
NPI: 1720015191