Unknown Individual – Chiropractor, NPI 1902421811

Unknown Individual is a healthcare provider. based in Medford, Oregon. specializing in Chiropractor. They hold a License No. 1324 (OR). The NPI Number for Unknown Individual is 1902421811

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1902421811
Phone
(541) 414-0362
Address
1744 E MCANDREWS RD STE D
Deactivation Date
13 December 2023

Doctor Profile

Medical School Name
WESTERN STATES COLLEGE OF CHIROPRACTIC
Secondary Phone
5412454444
Graduation Year
1977 (49 years ago)
PAC ID
8426471699
Group Practice PAC ID
0345281671
Professional Enrollment ID
I20200706003132
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

  • 1744 E MCANDREWS RD STE D

    MEDFORD, OR 975045576

    Phone: (541) 414-0362

    Fax: (541) 200-2269

    Type: Mailing

  • 547 E PINE ST STE 102

    CENTRAL POINT, OR 975022444

    Phone: (541) 414-0362

    Fax: (541) 200-2269

    Type: Location

  • 21885 OR62

    Shady Cove, OR 97539

    Phone: (541) 878-3603

    Fax: (541) 878-3603

    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 97504)

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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: 0345281671View full group profile
NameSpecialtyState
C H I R O P R A C T I COR
-OR
C H I R O P R A C T I COR
C H I R O P R A C T I COR
C H I R O P R A C T I COR
-OR
C H I R O P R A C T I COR
C H I R O P R A C T I CTX

Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1902421811 on file in the registry.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Chiropractor. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Medford?
Unknown Individual currently maps to Medford, Oregon in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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