Unknown Individual – Addiction Medicine (Family Medicine) Physician, NPI 1780650010

Unknown Individual is a healthcare provider. based in Des moines, Iowa. specializing in Addiction Medicine (Family Medicine) Physician. They hold a License No. 21170 (IA). The NPI Number for Unknown Individual is 1780650010

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1780650010
Phone
(515) 263-2424
Address
700 E UNIVERSITY AVE
Deactivation Date
26 June 2025
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

  • Vineyard Community Church, 700, East University Avenue, Des Moines, Polk County, Iowa, 50316, United States

    DES MOINES, IA 503162302

    Phone: (515) 263-2424

    Fax: (515) 263-2463

    Mailing address matches the actual address.

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 50316)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1780650010?
NPI 1780650010 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Addiction Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Des Moines, Iowa as the reference point for Unknown Individual, then confirm.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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