Unknown Individual – General Practice Dentistry, NPI 1508950650

Unknown Individual is a healthcare provider. based in Atwater, California. specializing in General Practice Dentistry. They hold a License No. D20615 (CA). The NPI Number for Unknown Individual is 1508950650

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1508950650
Phone
(209) 381-2047
Address
3605 HOSPITAL ROAD
Deactivation Date
22 November 2023
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

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Provider Addresses for Unknown Individual

  • SPRINGFIELD / ATWATER, Springfield Hospital Service Road, North End, Memorial Square, Springfield, Hampden County, Massachusetts, 01199, United States

    SUITE H

    ATWATER, CA 953015173

    Phone: (209) 381-2047

    Fax: (209) 381-2045

    Type: Location

  • 2806, Apple Valley Court, Atwater, Merced County, California, 95301, United States

    ATWATER, CA 953408371

    Phone: (209) 357-8374

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-01-06 • Largest payer in this snapshot: Henry Schein, Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Henry Schein, Inc.$16
View all Open Payments →|Open Payments Risk Radar →

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 95301)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1508950650 — is the standard way to identify this listing.
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?
General Practice Dentistry 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 Atwater, California 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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