Unknown Individual – Neurology with Special Qualifications in Child Neurology Physician, NPI 1306800883

Unknown Individual is a healthcare provider. based in Omaha, Nebraska. specializing in Neurology with Special Qualifications in Child Neurology Physician. They hold a License No. 12964 (NE). The NPI Number for Unknown Individual is 1306800883

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1306800883
Phone
(402) 884-1590
Address
8424 WEST CENTER RD
Deactivation Date
7 August 2024
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

  • 8424, West Center Road, Omaha, Douglas County, Nebraska, 68124, United States

    SUITE 212

    OMAHA, NE 68124

    Phone: (402) 884-1590

    Fax: (402) 390-0321

    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.

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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 68124)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1306800883.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Neurology with Special Qualifications in Child Neurology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Omaha, Nebraska?
If you are local to Omaha, Nebraska, Unknown Individual may be relevant to your search.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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