Unknown Individual – Orthopedic Chiropractor, NPI 1801976279

Unknown Individual is a healthcare provider. based in Madison, Wisconsin. specializing in Orthopedic Chiropractor. They hold a License No. 1647 (WI). The NPI Number for Unknown Individual is 1801976279

Main info

Organization
Inactive
47 Years Of Experience
Name
Unknown Individual
NPI
1801976279
Phone
(608) 231-3900
Address
4200 UNIVERSITY AVE STE 2100
Deactivation Date
5 February 2026

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE
Secondary Phone
-
Graduation Year
1979 (47 years ago)
PAC ID
1254375942
Professional Enrollment ID
I20050614000477
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

  • 4200 UNIVERSITY AVE STE 2100

    MADISON, WI 537052172

    Phone: (608) 231-3900

    Fax: (608) 231-6800

    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 53705)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1801976279.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Orthopedic Chiropractor is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Madison, Wisconsin as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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