Unknown Individual – Oral and Maxillofacial Surgery (Dentist), NPI 1609974831

Unknown Individual is a healthcare provider. based in Aurora, Colorado. specializing in Oral and Maxillofacial Surgery (Dentist). They hold a License No. 563 (CO). The NPI Number for Unknown Individual is 1609974831

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1609974831
Phone
(303) 690-4687
Address
11275 E MISSISSIPPI AVE
Deactivation Date
10 July 2024
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

  • East Mississippi Avenue, Aurora, Arapahoe County, Colorado, 80012-2523, United States

    AURORA, CO 800123263

    Phone: (303) 690-4687

    Type: Mailing

  • 17715, East Jamison Avenue, Chenango, Centennial, Arapahoe County, Colorado, 80016, United States

    CENTENNIAL, CO 800161814

    Phone: (303) 690-4687

    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.

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 80012)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1609974831 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Aurora, Colorado for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1609974831. Always confirm identity and privileges with the practice and licensing boards.

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