Unknown Individual – Chiropractor, NPI 1124126545

Unknown Individual is a healthcare provider. based in Pocatello, Idaho. specializing in Chiropractor. They hold a License No. CHIA277 (ID). The NPI Number for Unknown Individual is 1124126545

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124126545
Phone
(208) 232-8054
Address
8117 WEST BUCKSKIN RD.
Deactivation Date
29 March 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

  • West Buckskin Road, Pocatello, Bannock County, Idaho, 83212, United States

    POCATELLO, ID 83201

    Phone: (208) 232-8054

    Type: Mailing

  • 1155, Pocatello Creek Road, Pocatello, Bannock County, Idaho, 83201, United States

    POCATELLO, ID 83201

    Phone: (208) 233-3800

    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.

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 83201)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1124126545 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 Chiropractor. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Pocatello, Idaho for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1124126545. Always confirm identity and privileges with the practice and licensing boards.

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