Unknown Individual – Nutrition Chiropractor, NPI 1639175151

Unknown Individual is a healthcare provider. based in Osage beach, Missouri. specializing in Nutrition Chiropractor. They hold a License No. 005022 (MO). The NPI Number for Unknown Individual is 1639175151

Main info

Organization
Inactive
43 Years Of Experience
Name
Unknown Individual
NPI
1639175151
Phone
(573) 348-5514
Address
PO BOX 328
Deactivation Date
14 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5733485514
Graduation Year
1983 (43 years ago)
PAC ID
1153410006
Professional Enrollment ID
I20071130000209
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

  • PO BOX 328

    OSAGE BEACH, MO 650650328

    Phone: (573) 348-5514

    Type: Mailing

  • 4681 HIGHWAY 54

    STE 6

    OSAGE BEACH, MO 650652392

    Phone: (573) 348-5514

    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 65065)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1639175151 for Unknown Individual.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Nutrition Chiropractor. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Osage Beach, Missouri in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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