Unknown Individual – Family Medicine Physician, NPI 1649278227

Unknown Individual is a healthcare provider. based in Carson city, Nevada. specializing in Family Medicine Physician. They hold a License No. R5115 (MO). The NPI Number for Unknown Individual is 1649278227

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1649278227
Phone
(775) 884-1350
Address
2645 ANZAC CIR
Deactivation Date
30 December 2020
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

  • Anzac Circle, Carson City, Nevada, 89702, United States

    CARSON CITY, NV 897016802

    Phone: (775) 884-1350

    Fax: (775) 884-1388

    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 89701)

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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 1649278227.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Carson City, Nevada.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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