Unknown Individual – Chiropractor, NPI 1588707764

Unknown Individual is a healthcare provider. based in Centerville, Utah. specializing in Chiropractor. They hold a License No. 174995-1202 (UT). The NPI Number for Unknown Individual is 1588707764

Main info

Organization
Inactive
40 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1588707764
Phone
(801) 292-2299
Address
224 S MAIN ST STE 1
Deactivation Date
24 September 2021

Doctor Profile

Medical School Name
CLEVELAND CHIROPRACTIC COLLEGE - LOS ANGELES
Secondary Phone
-
Graduation Year
1986 (40 years ago)
PAC ID
4284858929
Professional Enrollment ID
I20140618002483
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

  • 224 S MAIN ST STE 1

    CENTERVILLE, UT 840142206

    Phone: (801) 292-2299

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 84014)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1588707764 is assigned to Unknown Individual under the national enumeration system.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Chiropractor for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Utah?
You will see Centerville, Utah on file for Unknown Individual alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

Parrish Lane, Centerville, Davis County, Utah, 84014, United States
NPI: 1962429670
Parrish Lane, Centerville, Davis County, Utah, 84014, United States
NPI: 1144389552
174 W PARRISH LN
NPI: 1255471579
PO BOX 613
NPI: 1396951562
1525, North Main Street, Bountiful, Davis County, Utah, 84010, United States
NPI: 1104026269
PO BOX 613
NPI: 1326226788

Unknown Individual

Chiropractor
583, North 180 East, Centerville, Davis County, Utah, 84014, United States
NPI: 1447707955
1, South Main Street, Centerville, Barnstable, Barnstable County, Massachusetts, 02632, United States
NPI: 1093245003

JAKE WALDEN (DC)

Chiropractor
281, Pheasantbrook Drive, Centerville, Davis County, Utah, 84014, United States
NPI: 1477064277