Unknown Individual – Orthopaedic Surgery Physician, NPI 1396936621

Unknown Individual is a healthcare provider. based in Des moines, Iowa. specializing in Orthopaedic Surgery Physician. The NPI Number for Unknown Individual is 1396936621

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1396936621
Phone
(515) 247-8400
Address
411 LAUREL ST
Deactivation Date
8 December 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 411, Laurel Street, Des Moines, Polk County, Iowa, 50314, United States

    STE 3300

    DES MOINES, IA 503143017

    Phone: (515) 247-8400

    Fax: (515) 248-8888

    Type: Mailing

  • Child Health Specialty Clinic, 804, Kenyon Road, Fort Dodge, Webster County, Iowa, 50501, United States

    STE 320

    FORT DODGE, IA 505015742

    Phone: (515) 574-8333

    Fax: (515) 573-5540

    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 50314)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1396936621 on file in the registry.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Des Moines?
Public fields place Unknown Individual around Des Moines, Iowa. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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