Unknown Individual – Pediatric Chiropractor, NPI 1982933297

Unknown Individual is a healthcare provider. based in Minneapolis, Minnesota. specializing in Pediatric Chiropractor. They hold a License No. 4902 (MN). The NPI Number for Unknown Individual is 1982933297

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1982933297
Phone
(612) 599-5352
Address
1121 JACKSON ST NE
Deactivation Date
7 October 2021
Data current as of
20 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

  • Jackson St Ne, Northeast Lowry Avenue, Holland, Northeast, Minneapolis, Hennepin County, Minnesota, 55418, United States

    SUITE 111

    MINNEAPOLIS, MN 554131672

    Phone: (612) 599-5352

    Fax: (612) 392-7001

    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.

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 55413)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1982933297 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Pediatric Chiropractor is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Minneapolis, Minnesota as a primary anchor for Unknown Individual unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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