Unknown Individual – Orthopedic Chiropractor, NPI 1720173495

Unknown Individual is a healthcare provider. based in Boardman, Ohio. specializing in Orthopedic Chiropractor. They hold a License No. 3228 (OH). The NPI Number for Unknown Individual is 1720173495

Main info

Organization
Inactive
25 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1720173495
Phone
(330) 729-1100
Address
824 BEV ROAD
Deactivation Date
4 June 2026

Doctor Profile

Medical School Name
NATIONAL COLLEGE OF CHIROPRACTIC
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
4385618008
Professional Enrollment ID
I20040823000119
Data current as of
10 June 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

  • 824, Bev Road, Boardman Township, Mahoning County, Ohio, 44512, United States

    BOARDMAN, OH 44512

    Phone: (330) 729-1100

    Fax: (330) 729-1101

    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 44512)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1720173495.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Orthopedic Chiropractor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Boardman, Ohio in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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