Unknown Individual – General Practice Dentistry, NPI 1578508073

Unknown Individual is a healthcare provider. based in Reno, Nevada. specializing in General Practice Dentistry. They hold a License No. 517 (NV). The NPI Number for Unknown Individual is 1578508073

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1578508073
Phone
(775) 825-4070
Address
3575 GRANT DR
Deactivation Date
6 June 2022
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

  • 3575, Grant Drive, Reno, Washoe County, Nevada, 89509, United States

    SUITE ONE

    RENO, NV 895095301

    Phone: (775) 825-4070

    Fax: (775) 825-3157

    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 89509)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1578508073 — the number used across U.S. healthcare to identify this provider.
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.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Where in Nevada is Unknown Individual registered?
Use Reno, Nevada as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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