Unknown Individual – Foot & Ankle Surgery Podiatrist, NPI 1770714099

Unknown Individual is a healthcare provider. based in Waterloo, Iowa. specializing in Foot & Ankle Surgery Podiatrist. They hold a License No. 00449 (IA). The NPI Number for Unknown Individual is 1770714099

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1770714099
Phone
(319) 233-6107
Address
927 W 4TH ST
Deactivation Date
19 February 2025
Data current as of
20 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

  • 927, West 4th Street, Waterloo, Black Hawk County, Iowa, 50702, United States

    WATERLOO, IA 507022801

    Phone: (319) 233-6107

    Fax: (319) 233-9138

    Type: Mailing

  • UnityPoint Clinic Family Medicine – Parkersburg, 502, 3rd Street, Parkersburg, Butler County, Iowa, 50665, United States

    PARKERSBURG, IA 506652063

    Phone: (319) 346-2331

    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.

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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.

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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 50702)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1770714099 for Unknown Individual, then check state licensing separately.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Foot & Ankle Surgery Podiatrist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Waterloo, Iowa as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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