Unknown Individual – Diagnostic Radiology Physician, NPI 1710979752

Unknown Individual is a healthcare provider. based in Dayton, Ohio. specializing in Diagnostic Radiology Physician. They hold a License No. 35-04-3704H (OH). The NPI Number for Unknown Individual is 1710979752

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710979752
Phone
(937) 433-7622
Address
2591 MIAMISBURG CENTERVILLE ROAD
Deactivation Date
18 October 2022
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

  • 2591 MIAMISBURG CENTERVILLE ROAD

    STE 302

    DAYTON, OH 454593706

    Phone: (937) 433-7622

    Fax: (937) 433-7656

    Type: Mailing

  • Medical Center Drive, University District District 4, Columbus, Franklin, Ohio, 43210, United States

    FRANKLIN, OH 450051066

    Phone: (513) 420-5755

    Fax: (513) 420-5053

    Type: Location

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.

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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 45459)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1710979752 for Unknown Individual, then check state licensing separately.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Dayton, Ohio as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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