Unknown Individual – Prosthetic/Orthotic Supplier, NPI 1295798932

Unknown Individual is a healthcare provider. based in Minneapolis, Minnesota. specializing in Prosthetic/Orthotic Supplier. The NPI Number for Unknown Individual is 1295798932

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1295798932
Phone
(612) 672-6653
Address
606 24TH AVE S STE 510
Deactivation Date
4 October 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 606 24TH AVE S STE 510

    MINNEAPOLIS, MN 554541438

    Phone: (612) 672-6653

    Fax: (612) 672-4780

    Type: Location

  • 606 24th Ave S

    Ste 301

    Minneapolis, MN 554541455

    Phone: (612) 672-6653

    Fax: (612) 672-4780

    Type: Location

  • Mill Valley Market, 1221, Theodore Wirth Parkway, Glenwood Junction, Minneapolis, Hennepin County, Minnesota, 55422, United States

    MINNEAPOLIS, MN 554401221

    Phone: (612) 672-6724

    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.

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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 55454)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1295798932 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Prosthetic/Orthotic Supplier in the directory — Clinical services aligned with this taxonomy classification.
Where in Minnesota is Unknown Individual registered?
Use Minneapolis, Minnesota as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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