Unknown Individual – Chiropractor, NPI 1073512778

Unknown Individual is a healthcare provider. based in Eugene, Oregon. specializing in Chiropractor. They hold a License No. 27-1393 (OR). The NPI Number for Unknown Individual is 1073512778

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1073512778
Phone
(541) 342-3001
Address
642 LINCOLN ST
Deactivation Date
29 August 2022

Doctor Profile

Medical School Name
WESTERN STATES COLLEGE OF CHIROPRACTIC
Secondary Phone
5413423001
Graduation Year
1978 (48 years ago)
PAC ID
1052395688
Professional Enrollment ID
I20040614000401
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

  • 642, Lincoln Street, Eugene, Lane County, Oregon, 97401, United States

    EUGENE, OR 974012541

    Phone: (541) 342-3001

    Fax: (541) 342-1982

    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.

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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 97401)

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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
CHIROPRACTICOR98942Chiropractic manipulative treatment, 5 spinal regions45451

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1073512778 — the number used across U.S. healthcare to identify this provider.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Chiropractor. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Eugene?
Unknown Individual currently maps to Eugene, Oregon in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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