Unknown Individual – Pediatrics Physician, NPI 1790740157

Unknown Individual is a healthcare provider. based in Biddeford, Maine. specializing in Pediatrics Physician. They hold a License No. 006107 (ME). The NPI Number for Unknown Individual is 1790740157

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790740157
Phone
(207) 282-9080
Address
419 ALFRED ST
Deactivation Date
8 April 2021
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

  • 419, Alfred Street, Biddeford, York County, Maine, 04005, United States

    BIDDEFORD, ME 040053747

    Phone: (207) 282-9080

    Fax: (207) 282-9180

    Type: Mailing

  • 483, Alfred Street, Biddeford, York County, Maine, 04005, United States

    BIDDEFORD, ME 040059473

    Phone: (207) 282-7531

    Fax: (207) 286-3787

    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 04005)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1790740157.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Biddeford, Maine in the data we show; additional addresses may exist on the full record.
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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