Unknown Individual – Family Medicine Physician, NPI 1992708416

Unknown Individual is a healthcare provider. based in Dayton, Ohio. specializing in Family Medicine Physician. They hold a License No. 34001037B (OH). The NPI Number for Unknown Individual is 1992708416

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1992708416
Phone
(937) 855-4135
Address
2912 SPRINGBORO W
Deactivation Date
9 August 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

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Provider Addresses for Unknown Individual

  • 2912 SPRINGBORO W

    STE 201

    DAYTON, OH 454391674

    Phone: (937) 855-4135

    Fax: (937) 855-4139

    Type: Mailing

  • West Market Street, Gunckels Town Plan Historic District, Germantown, Montgomery County, Ohio, 45327, United States

    GERMANTOWN, OH 453271715

    Phone: (937) 855-4135

    Fax: (937) 855-4139

    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.

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 45439)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1992708416 on file in the registry.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Dayton?
Public fields place Unknown Individual around Dayton, Ohio. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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