Unknown Individual – Chiropractor, NPI 1194734699

Unknown Individual is a healthcare provider. based in Grand rapids, Minnesota. specializing in Chiropractor. They hold a License No. 1597 (MN). The NPI Number for Unknown Individual is 1194734699

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1194734699
Phone
(218) 326-4132
Address
420 S POKEGAMA AVE
Deactivation Date
27 February 2025
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

  • 420, South Pokegama Avenue, Wagon Wheel Mobile Home Park, Grand Rapids, Itasca County, Minnesota, 55744, United States

    GRAND RAPIDS, MN 557443818

    Phone: (218) 326-4132

    Fax: (218) 326-4714

    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 55744)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1194734699.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Chiropractor. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Grand Rapids, Minnesota in registry-derived data.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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