Unknown Individual – Otolaryngology Physician, NPI 1124086731

Unknown Individual is a healthcare provider. based in Greeley, Colorado. specializing in Otolaryngology Physician. They hold a License No. 17298 (CO). The NPI Number for Unknown Individual is 1124086731

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124086731
Phone
(970) 356-4646
Address
2528 W 16TH ST
Deactivation Date
30 January 2022
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

  • 2528, West 16th Street, Greeley, Weld County, Colorado, 80634, United States

    GREELEY, CO 806344955

    Phone: (970) 356-4646

    Fax: (970) 356-2041

    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 80634)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1124086731 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Greeley?
Public fields place Unknown Individual around Greeley, Colorado. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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