Unknown Individual – Chiropractor, NPI 1174618664

Unknown Individual is a healthcare provider. based in Shoreview, Minnesota. specializing in Chiropractor. They hold a License No. 2701 (MN). The NPI Number for Unknown Individual is 1174618664

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174618664
Phone
(651) 415-1813
Address
270 POPLAR DRIVE
Deactivation Date
19 December 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

  • 270, Poplar Drive, Shoreview, Ramsey County, Minnesota, 55126, United States

    SHOREVIEW, MN 55126

    Phone: (651) 415-1813

    Type: Mailing

  • Central Avenue Northeast, Columbia Heights, Anoka County, Minnesota, 55421, United States

    COLUMBIA HEIGHTS, MN 55421

    Phone: (763) 788-9101

    Fax: (763) 789-4980

    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.

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 55126)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1174618664 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Chiropractor. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Shoreview, Minnesota for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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