Unknown Individual – Chiropractor, NPI 1114081767

Unknown Individual is a healthcare provider. based in Lebanon, Missouri. specializing in Chiropractor. They hold a License No. 003454 (MO). The NPI Number for Unknown Individual is 1114081767

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114081767
Phone
(417) 532-6251
Address
212 VANCE RD
Deactivation Date
24 March 2023
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

  • Vance Road, Lebanon, Laclede County, Missouri, 65536, United States of America

    LEBANON, MO 655363664

    Phone: (417) 532-6251

    Type: Location

  • Oakwood Drive, North Londonderry Township, Lebanon County, Pennsylvania, 17078, United States

    LEBANON, MO 655365720

    Phone: (417) 532-7267

    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 65536)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1114081767 for Unknown Individual.
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 services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Chiropractor. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Lebanon, Missouri 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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