Unknown Individual – Chiropractor, NPI 1548204936

Unknown Individual is a healthcare provider. based in Centerville, Ohio. specializing in Chiropractor. They hold a License No. 1200 (OH). The NPI Number for Unknown Individual is 1548204936

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1548204936
Phone
(937) 439-5400
Address
2165 MIAMISBURG CENTERVILLE RD
Deactivation Date
21 October 2024

Doctor Profile

Medical School Name
LOS ANGELES COLLEGE OF CHIROPRACTIC
Secondary Phone
9374395400
Graduation Year
1985 (41 years ago)
PAC ID
7113992934
Group Practice PAC ID
5597730317
Professional Enrollment ID
I20140804002433
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

  • Miamisburg Centerville Road, Centerville, Montgomery County, Ohio, 45459-4011, United States

    CENTERVILLE, OH 454593814

    Phone: (937) 439-5400

    Fax: (937) 439-5420

    Mailing address matches the actual address.

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 45459)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597730317View full group profile
NameSpecialtyState
-OH

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1548204936?
NPI 1548204936 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 expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Chiropractor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Centerville, Ohio as the reference point for Unknown Individual, then confirm.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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Unknown Individual

Chiropractor
Miamisburg Centerville Road, Centerville, Montgomery County, Ohio, 45459-4011, United States
NPI: 1053594549