Unknown Individual – Primary Care Clinic/Center, NPI 1558408161

Unknown Individual is a healthcare provider. based in Brooklyn center, Minnesota. specializing in Primary Care Clinic/Center. The NPI Number for Unknown Individual is 1558408161

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1558408161
Phone
(763) 782-6400
Address
6300 SHINGLE CREEK PKWY
Deactivation Date
4 December 2024
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

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Provider Addresses for Unknown Individual

  • 6300, Shingle Creek Parkway, Brooklyn Center, Hennepin County, Minnesota, 55430, United States

    STE 600

    BROOKLYN CENTER, MN 554302124

    Phone: (763) 782-6400

    Fax: (763) 782-9558

    Type: Mailing

  • Hiawatha Business Center, 2020, East 28th Street, East Phillips, Phillips, Minneapolis, Hennepin County, Minnesota, 55406, United States

    SMILEY'S CLINIC

    MINNEAPOLIS, MN 55407

    Phone: (612) 333-0770

    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 55430)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1558408161 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Primary Care Clinic/Center. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Brooklyn Center, Minnesota.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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