Unknown Individual – General Practice Dentistry, NPI 1215963889

Unknown Individual is a healthcare provider. based in Niles, Ohio. specializing in General Practice Dentistry. They hold a License No. 20592 (OH). The NPI Number for Unknown Individual is 1215963889

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1215963889
Phone
(330) 207-6662
Address
5700 YOUNSTOWN WARREN RD.
Deactivation Date
12 February 2026
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

Provider Addresses for Unknown Individual

  • 5700 YOUNSTOWN WARREN RD.

    SUITE 107

    NILES, OH 44446

    Phone: (330) 207-6662

    Fax: (330) 652-3913

    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 44446)

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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 1215963889.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with General Practice Dentistry in the directory — Clinical services aligned with this taxonomy classification.
Where in Ohio is Unknown Individual registered?
Use Niles, Ohio as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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