Unknown Individual – Chiropractor, NPI 1962484188

Unknown Individual is a healthcare provider. based in Anoka, Minnesota. specializing in Chiropractor. They hold a License No. 1465 (MN). The NPI Number for Unknown Individual is 1962484188

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1962484188
Phone
(763) 427-2400
Address
3507 ROUND LAKE BLVD., STE 300
Deactivation Date
29 September 2022

Doctor Profile

Medical School Name
LOGAN COLLEGE OF CHIROPRACTIC
Secondary Phone
7634272400
Graduation Year
1978 (48 years ago)
PAC ID
5890688527
Professional Enrollment ID
I20040205000730
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

Provider Addresses for Unknown Individual

  • 3507 ROUND LAKE BLVD., STE 300

    ANOKA, MN 55303

    Phone: (763) 427-2400

    Fax: (763) 427-2077

    Type: Location

  • Round Lake Boulevard Northwest, Wedgewood, Coon Rapids, Anoka County, Minnesota, 55316, United States

    ANOKA, MN 55303

    Phone: (763) 427-2400

    Fax: (763) 427-2077

    Type: Mailing

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 55303)

Loading plans...

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
CHIROPRACTICMN98940Chiropractic manipulative treatment, 1-2 spinal regions10817

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 is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1962484188 — is the standard way to identify this listing.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Chiropractor. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Anoka, Minnesota as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

403 JACKSON ST STE 307
NPI: 1235240433
646 E RIVER RD STE 2
NPI: 1588765309
Round Lake Boulevard Northwest, Andover, Anoka County, Minnesota, United States
NPI: 1104918341
600, East Main Street, Anoka, Anoka County, Minnesota, 55303, United States
NPI: 1801985429
600, East Main Street, Anoka, Anoka County, Minnesota, 55303, United States
NPI: 1114007275
600, East Main Street, Anoka, Anoka County, Minnesota, 55303, United States
NPI: 1972688075
646, East River Road, Anoka, Anoka County, Minnesota, 55303, United States
NPI: 1912055435
18258 MINNETONKA BLVD, WAYZATA MN 55392
NPI: 1467508093
3722, 7th Avenue, Anoka, Anoka County, Minnesota, 55303, United States
NPI: 1184766842