Unknown Individual – Chiropractor, NPI 1104005867

Unknown Individual is a healthcare provider. based in Odessa, Missouri. specializing in Chiropractor. They hold a License No. CE005831 (MO). The NPI Number for Unknown Individual is 1104005867

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104005867
Phone
(816) 633-8187
Address
421 N 1ST ST
Deactivation Date
2 August 2021
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

  • 1st Street, Odessa, Schuyler County, New York, 14869, United States

    SUITE C

    ODESSA, MO 640765242

    Phone: (816) 633-8187

    Fax: (816) 461-5297

    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 64076)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1104005867; it appears in the national provider directory.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Chiropractor. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Odessa, Missouri for Unknown Individual based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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