Unknown Individual – Dentist, NPI 1548484389

Unknown Individual is a healthcare provider. based in Geneva, Illinois. specializing in Dentist. The NPI Number for Unknown Individual is 1548484389

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1548484389
Phone
(630) 232-7400
Address
2075 BLACKBERRY DR
Deactivation Date
3 July 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience10
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 2075 BLACKBERRY DR

    FOX RIVER PERIODONTICS

    GENEVA, IL 60134

    Phone: (630) 232-7400

    Fax: (630) 232-7590

    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 14 Open Payments records for all available years, with a total value of $713.

Total Amount is formed as General ($713) + Research ($0) + Ownership ($0) = $713.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Straumann USA LLC ($385).

Total Amount

$713

General + Research + Ownership

Payments

14

Total payment records

General Amount

$713

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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 60134)

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 unique ID ties claims to Unknown Individual?
NPI 1548484389 is assigned to Unknown Individual under the national enumeration system.
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 does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Dentist. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Geneva, Illinois for Unknown Individual; expand the address list for detail.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.