Unknown Individual – Endodontics, NPI 1114037660

Unknown Individual is a healthcare provider. based in Pembroke pines, Florida. specializing in Endodontics. They hold a License No. DN7579 (FL). The NPI Number for Unknown Individual is 1114037660

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114037660
Phone
(954) 961-3636
Address
2221 N UNIVERSITY DR
Deactivation Date
16 August 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

  • 2221, North University Drive, Pembroke Pines, Broward County, Florida, 33024, United States

    STE D

    PEMBROKE PINES, FL 330243603

    Phone: (954) 961-3636

    Fax: (954) 961-8107

    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 33024)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1114037660 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Endodontics for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Pembroke Pines, Florida for Unknown Individual based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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