Unknown Individual – Multi-Specialty Clinic/Center, NPI 1639507775

Unknown Individual is a healthcare provider. based in Reno, Nevada. specializing in Multi-Specialty Clinic/Center. They hold a License No. 14778 (NV). The NPI Number for Unknown Individual is 1639507775

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1639507775
Phone
(775) 853-7669
Address
PO BOX 17892
Deactivation Date
14 September 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 17892

    RENO, NV 895111033

    Phone: (775) 853-7669

    Fax: (855) 313-0186

    Type: Mailing

  • 15 MCCABE DR

    SUITE 203

    RENO, NV 895115924

    Phone: (775) 853-7669

    Fax: (855) 313-0186

    Type: Location

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.

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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 89511)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1639507775.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Multi-Specialty Clinic/Center in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Reno, Nevada in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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