Unknown Individual – Periodontics, NPI 1164424677

Unknown Individual is a healthcare provider. based in Kansas city, Missouri. specializing in Periodontics. The NPI Number for Unknown Individual is 1164424677

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1164424677
Phone
(816) 444-7787
Address
6675 HOLMES RD
Deactivation Date
17 November 2022
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

  • Holmes Road, Oak Meyer Gardens, Kansas City, Jackson County, Missouri, 64131, United States

    SUITE 690

    KANSAS CITY, MO 641311150

    Phone: (816) 444-7787

    Fax: (816) 444-1228

    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 64131)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1164424677?
NPI 1164424677 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Periodontics. Clinical services aligned with this taxonomy classification.
Where in Missouri is Unknown Individual registered?
Use Kansas City, Missouri as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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