Unknown Individual – Oral and Maxillofacial Surgery (Dentist), NPI 1689781932

Unknown Individual is a healthcare provider. based in Sparks, Nevada. specializing in Oral and Maxillofacial Surgery (Dentist). They hold a License No. S2-32 (NV). The NPI Number for Unknown Individual is 1689781932

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1689781932
Phone
(775) 359-3322
Address
2351 PYRAMID WAY 17
Deactivation Date
12 June 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

  • 2351, Pyramid Way, Sparks, Washoe County, Nevada, 89431, United States

    SPARKS, NV 894312163

    Phone: (775) 359-3322

    Fax: (775) 359-1925

    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)

CMS reports 11 Open Payments records for all available years, with a total value of $1,379.

Total Amount is formed as General ($1,379) + Research ($0) + Ownership ($0) = $1,379.

Last reported payment date: 2024-10-04 • Largest payer in this snapshot: Ultradent Products Inc ($1,277).

Total Amount

$1,379

General + Research + Ownership

Payments

11

Total payment records

General Amount

$1,379

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-04

Latest reported date

Top Companies

Largest payers in this snapshot

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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 89431)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1689781932 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
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 Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Sparks, Nevada.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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