Unknown Individual – Pediatrics Physician, NPI 1730170150

Unknown Individual is a healthcare provider. based in Weymouth, Massachusetts. specializing in Pediatrics Physician. They hold a License No. 45479 (MA). The NPI Number for Unknown Individual is 1730170150

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1730170150
Phone
(781) 331-9114
Address
851 MAIN ST
Deactivation Date
22 May 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

  • Aspire Dental Health of Weymouth, 851, Main Street, South Weymouth, Weymouth, Norfolk County, Massachusetts, 02190, United States

    UNIT 18

    WEYMOUTH, MA 021901612

    Phone: (781) 331-9114

    Fax: (781) 331-9135

    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.

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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 02190)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1730170150 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Pediatrics Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Weymouth?
Unknown Individual currently maps to Weymouth, Massachusetts in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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