Unknown Individual – Internist Chiropractor, NPI 1023066073

Unknown Individual is a healthcare provider. based in Fenton, Missouri. specializing in Internist Chiropractor. They hold a License No. CE004876 (MO). The NPI Number for Unknown Individual is 1023066073

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1023066073
Phone
(636) 225-0489
Address
31 APOSTLE CT.
Deactivation Date
11 September 2025

Doctor Profile

Medical School Name
LOGAN COLLEGE OF CHIROPRACTIC
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
9133298854
Professional Enrollment ID
I20080521000598
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

  • 31 APOSTLE CT.

    FENTON, MO 630262776

    Phone: (636) 225-0489

    Type: Mailing

  • Lockwood Farm, Webster Groves, Saint Louis County, Missouri, United States

    WEBSTER GROVES, MO 631193219

    Phone: (314) 968-4696

    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
98940Chiropractic manipulative treatment, 1-2 spinal regions1,15862$0
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Insurance plans in this area (ZIP 63026)

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Provider's Procedures

Unknown Individual performs procedures in Internist Chiropractor. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CHIROPRACTICMO98940Chiropractic manipulative treatment, 1-2 spinal regions44665

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1023066073 if you need a stable reference for Unknown Individual.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Internist Chiropractor. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Fenton, Missouri because that is what the record indicates for Unknown Individual.
What if Fenton, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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PO BOX 126
NPI: 1619049327