Unknown Individual – Dentist, NPI 1033214820

Unknown Individual is a healthcare provider. based in Fort carson, Colorado. specializing in Dentist. They hold a License No. 029568 (NY). The NPI Number for Unknown Individual is 1033214820

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1033214820
Phone
(719) 526-5537
Address
1631 WETZEL AVE
Deactivation Date
24 August 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:0State licenses:5Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Wetzel Avenue, Fort Carson, El Paso County, Colorado, 80913, United States

    BLDG 815

    FORT CARSON, CO 809134095

    Phone: (719) 526-5537

    Fax: (719) 524-2843

    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.

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 80913)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1033214820 if you need a stable reference for Unknown Individual.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Dentist. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Fort Carson, Colorado for Unknown Individual; expand the address list for detail.
What if Fort Carson, Colorado seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.