Unknown Individual – Addiction Medicine (Psychiatry & Neurology) Physician, NPI 1710141056

Unknown Individual is a healthcare provider. based in Anchorage, Alaska. specializing in Addiction Medicine (Psychiatry & Neurology) Physician. They hold a License No. AK1533 (AK). The NPI Number for Unknown Individual is 1710141056

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710141056
Phone
(907) 561-3210
Address
4325 LAUREL
Deactivation Date
11 November 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Laurel Park, Anchorage, Alaska, United States

    205

    ANCHORAGE, AK 99508

    Phone: (907) 561-3210

    Type: Mailing

  • 4325, Laurel Street, Anchorage, Alaska, 99508, United States

    205

    ANCHORAGE, AK 995085338

    Phone: (907) 561-3210

    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.

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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 99508)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1710141056 uniquely identifies Unknown Individual in U.S. healthcare data.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Addiction Medicine (Psychiatry & Neurology) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Anchorage, Alaska. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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