Unknown Individual – Occupational Health Chiropractor, NPI 1841296704

Unknown Individual is a healthcare provider. based in Decatur, Texas. specializing in CHIROPRACTIC. They hold a License No. DC6400 (TX). The NPI Number for Unknown Individual is 1841296704

Main info

Organization
Inactive
32 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1841296704
Phone
(940) 627-7811
Address
1700 W BUSINESS 380
Deactivation Date
23 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9406277811
Graduation Year
1994 (32 years ago)
PAC ID
6901837111
Professional Enrollment ID
I20050827000172
Address ID
TX762343232DE1700XBUSI301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

2,110 CHIROPRACTIC in TX

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Provider Addresses for Unknown Individual

  • 1700, West Business 380, Decatur, Wise County, Texas, 76234, United States

    DECATUR, TX 762343232

    Phone: (940) 627-7811

    Fax: (940) 627-7814

    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.

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050827000172IChiropracticTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98940Chiropractic manipulative treatment, 1-2 spinal regions14554$0
View full utilization report →

Insurance plans in this area (ZIP 76234)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1841296704 if you need a stable reference for Unknown Individual.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Occupational Health Chiropractor. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Decatur, Texas for Unknown Individual based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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