Unknown Individual – Dentist, NPI 1356415129

Unknown Individual is a healthcare provider. based in Stillwater, Oklahoma. specializing in Dentist. They hold a License No. 4199 (OK). The NPI Number for Unknown Individual is 1356415129

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1356415129
Phone
(405) 372-5040
Address
900 SOUTH WALNUT
Deactivation Date
15 May 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

  • 900, South Walnut Street, Stillwater, Payne County, Oklahoma, 74074, United States

    STILLWATER, OK 74074

    Phone: (405) 372-5040

    Fax: (405) 743-2794

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-01-17 • Largest payer in this snapshot: COLOPLAST CORP ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
COLOPLAST CORP$18
View all Open Payments →|Open Payments Risk Radar →

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 74074)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1356415129 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Dentist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Stillwater?
Public fields place Unknown Individual around Stillwater, Oklahoma. Always confirm the exact site before visiting.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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