Unknown Individual – Podiatrist, NPI 1114971173

Unknown Individual is a healthcare provider. based in Omaha, Nebraska. specializing in Podiatrist. They hold a License No. 292 (NE). The NPI Number for Unknown Individual is 1114971173

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114971173
Phone
(402) 926-2600
Address
7811 CHICAGO COURT
Deactivation Date
25 February 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience18
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 7811, Chicago Court, Omaha, Douglas County, Nebraska, 68114, United States

    OMAHA, NE 68114

    Phone: (402) 926-2600

    Fax: (402) 926-2605

    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 68114)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1114971173.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Podiatrist. Clinical services aligned with this taxonomy classification.
Where in Nebraska is Unknown Individual registered?
Use Omaha, Nebraska as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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