Unknown Individual – Dentist, NPI 1508883182

Unknown Individual is a healthcare provider. based in Lorain, Ohio. specializing in Dentist. They hold a License No. 30015120 (OH). The NPI Number for Unknown Individual is 1508883182

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1508883182
Phone
(440) 282-2023
Address
690 COOPER FOSTER PARK RD W
Deactivation Date
16 June 2021
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

Loading map...

Provider Addresses for Unknown Individual

  • 690, Cooper Foster Park Road West, Lorain, Sheffield Township, Lorain County, Ohio, 44053, United States

    LORAIN, OH 440533731

    Phone: (440) 282-2023

    Fax: (440) 282-1705

    Type: Location

  • 4370, Oberlin Avenue, Lorain, Amherst Township, Lorain County, Ohio, 44053, United States

    LORAIN, OH 44053

    Phone: (440) 282-2023

    Fax: (440) 282-1705

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 44053)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1508883182 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Dentist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Ohio?
You will see Lorain, Ohio on file for Unknown Individual alongside any extra practice locations.
What if Lorain, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

19254, Timber Creek Circle, Deerfield Woods, Strongsville, Cuyahoga County, Ohio, 44136, United States
NPI: 1154305050
1300, Cooper Foster Park Road, Lorain, Lorain County, Ohio, 44053, United States
NPI: 1205808615
6928, Ryan Road, Chippewa Lake Park, Lafayette Township, Medina County, Ohio, 44256, United States
NPI: 1750355343

LORAIN COUNTY HEALTH & DENTISTRY

Federally Qualified Health Center (FQHC)
1205, Broadway, Lorain, Lorain County, Ohio, 44052, United States
NPI: 1841238417
Cooper Foster Park Road West, Lorain, Amherst Township, Lorain County, Ohio, 44053, United States
NPI: 1164459087
4800, Oberlin Avenue, Lorain, Amherst Township, Lorain County, Ohio, 44053, United States
NPI: 1174532691
5000, Oberlin Avenue, Lorain, Amherst Township, Lorain County, Ohio, 44053, United States
NPI: 1033227400
SCI Greene, 169, Progress Drive, Waynesburg, Greene County, Pennsylvania, 15370, United States
NPI: 1518058684
Little Hearts Learning, 220, West 8th Street, Downtown Lorain, Lorain, Lorain County, Ohio, 44052, United States
NPI: 1639254493