Unknown Individual – General Practice Dentistry, NPI 1891794442

General Practice Dentistry

Unknown Individual is a healthcare provider. based in Las vegas, Nevada. specializing in General Practice Dentistry. They hold a License No. 1007 (NV). The NPI Number for Unknown Individual is 1891794442

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1891794442

Phone

(702) 648-6800

Address

3226 N DECATUR BLVD

Deactivation Date

31 January 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

North Decatur Boulevard, Las Vegas, Clark County, Nevada, 89102-1432, United States
LAS VEGAS, NV 891303207
Phone: (702) 648-6800
Fax: (703) 638-8696
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 89130)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?

Administrative and clinical systems typically use NPI 1891794442 for Unknown Individual.

What happens when Unknown Individual's NPI is not active?

Public data lists Unknown Individual outside the active bucket for this identifier.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to General Practice Dentistry. Clinical services aligned with this taxonomy classification.

What geographic area is tied to Unknown Individual?

Unknown Individual is associated with Las Vegas, Nevada in the same public data insurers reference.

Why is information missing for Unknown Individual?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.