Unknown Individual – General Practice Dentistry, NPI 1689642316

General Practice Dentistry

Unknown Individual is a healthcare provider. based in Clearwater, Florida. specializing in General Practice Dentistry. They hold a License No. 17408 (OH). The NPI Number for Unknown Individual is 1689642316

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1689642316

Phone

(727) 461-7487

Address

1002 JEFFORDS ST

Deactivation Date

29 May 2025

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

Loading map...

Provider Addresses for Unknown Individual

1002, Jeffords Street, Clearwater, Pinellas County, Florida, 33756, United States
CLEARWATER, FL 337564024
Phone: (727) 461-7487
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: SprintRay Inc ($27).

Total Amount

$27

General + Research + Ownership

Payments

Total payment records

General Amount

$27

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
SprintRay Inc	$27

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 33756)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for Unknown Individual?

Unknown Individual — NPI 1689642316 — is the standard way to identify this listing.

Why might Unknown Individual appear inactive while still practicing?

We display what the registry publishes: Unknown Individual appears inactive there.

What taxonomy line describes Unknown Individual?

For research purposes, treat Unknown Individual as General Practice Dentistry in this dataset. Clinical services aligned with this taxonomy classification.

What area does Unknown Individual serve?

Unknown Individual's listing highlights Clearwater, Florida; more addresses can appear in NPPES.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.