Unknown Individual – Chiropractor, NPI 1255381372

Unknown Individual is a healthcare provider. based in Moses lake, Washington. specializing in Chiropractor. They hold a License No. CH00001298 (WA). The NPI Number for Unknown Individual is 1255381372

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1255381372
Phone
(509) 766-9966
Address
830 E Broadway Ave
Deactivation Date
8 February 2023

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
5094883346
Graduation Year
1977 (49 years ago)
PAC ID
1052375326
Group Practice PAC ID
0446311518
Professional Enrollment ID
I20041116000911
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

  • 830 E Broadway Ave

    Moses Lake, WA 988375932

    Phone: (509) 766-9966

    Fax: (509) 766-0330

    Type: Location

  • 361, East Main Street, Othello, Adams County, Washington, 99344, United States

    OTHELLO, WA 99344

    Phone: (509) 488-3346

    Fax: (509) 488-3347

    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 98837)

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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: 0446311518View full group profile
NameSpecialtyState
C H I R O P R A C T I CWA
C H I R O P R A C T I CWA
C H I R O P R A C T I CWA

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1255381372 for Unknown Individual, then check state licensing separately.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Chiropractor. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Moses Lake, Washington as a primary anchor for Unknown Individual unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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