Unknown Individual – Dentist, NPI 1124130752

Unknown Individual is a healthcare provider. based in Tiffin, Iowa. specializing in Dentist. They hold a License No. 6470 (KS). The NPI Number for Unknown Individual is 1124130752

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124130752
Phone
(620) 694-7358
Address
1201 IRONWOOD LN
Deactivation Date
12 July 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1201 IRONWOOD LN

    TIFFIN, IA 523407902

    Phone: (620) 694-7358

    Fax: (620) 663-7851

    Type: Mailing

  • 200, East 30th Avenue, Hutchinson, Reno County, Kansas, 67502, United States

    HUTCHINSON, KS 675022409

    Phone: (620) 663-9133

    Fax: (620) 663-7851

    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 52340)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1124130752.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Dentist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Tiffin, Iowa as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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