Unknown Individual – Endodontics, NPI 1871633487

Unknown Individual is a healthcare provider. based in Worcester, Massachusetts. specializing in Endodontics. They hold a License No. 10221 (MA). The NPI Number for Unknown Individual is 1871633487

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1871633487
Phone
(508) 757-2190
Address
111 ELM ST
Deactivation Date
14 August 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

Provider Addresses for Unknown Individual

  • 111 ELM ST

    201

    WORCESTER, MA 016091967

    Phone: (508) 757-2190

    Fax: (508) 797-0523

    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 01609)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1871633487 uniquely identifies Unknown Individual in U.S. healthcare data.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Endodontics. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Worcester, Massachusetts?
For routing, start with Worcester, Massachusetts for Unknown Individual, then verify phone and hours locally.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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