Unknown Individual – Pediatric Dentistry, NPI 1316943103

Unknown Individual is a healthcare provider. based in Holyoke, Massachusetts. specializing in Pediatric Dentistry. They hold a License No. 10889 (MA). The NPI Number for Unknown Individual is 1316943103

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1316943103
Phone
(413) 420-2214
Address
230 MAPLE ST
Deactivation Date
8 November 2024
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

  • 230, Maple Street, Holyoke, Hampden County, Massachusetts, 01040, United States

    HOLYOKE, MA 010405144

    Phone: (413) 420-2214

    Fax: (413) 420-2250

    Type: Location

  • 818, South Street, Roslindale, West Roxbury, Boston, Suffolk County, Massachusetts, 02131, United States

    #2R

    ROSLINDALE, MA 021312450

    Phone: (617) 710-2120

    Type: Mailing

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 01040)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1316943103?
NPI 1316943103 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Holyoke, Massachusetts as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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