Unknown Individual – Endodontics, NPI 1508867102

Unknown Individual is a healthcare provider. based in Portland, Oregon. specializing in Endodontics. They hold a License No. D4999 (OR). The NPI Number for Unknown Individual is 1508867102

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1508867102
Phone
(503) 282-7537
Address
2211 LLOYD CTR
Deactivation Date
30 August 2025
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

  • Lloyd Center, Northeast Multnomah Street, Lloyd District, Portland, Metro, Multnomah County, Oregon, 97232, United States

    PORTLAND, OR 972321315

    Phone: (503) 282-7537

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-07-03 • Largest payer in this snapshot: SERVIER PHARMACEUTICALS LLC ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-03

Latest reported date

Top Companies

Largest payers in this snapshot

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 97232)

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

What unique ID ties claims to Unknown Individual?
NPI 1508867102 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Endodontics for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Oregon?
You will see Portland, Oregon on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

Similar Providers

Lake Road, Portland, Middlesex County, Connecticut, 06414, United States
NPI: 1619973070
6323, Teal Mist Lane, Creekside, Fulshear, Fort Bend County, Texas, 77441, United States
NPI: 1194721555
12661, Southeast Powell Boulevard, Powellhurst-Gilbert, Portland, Metro, Multnomah County, Oregon, 97236, United States
NPI: 1144227240
Cafe 700, 700, Northeast Multnomah Street, Lloyd District, Portland, Metro, Multnomah County, Oregon, 97232, United States
NPI: 1356348379
Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States
NPI: 1639177678
Flourish Natural Medicine, 5440, Southwest Westgate Drive, Sylvan, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97221, United States
NPI: 1275531055
Robert Ratzow, DC, BA, 833, Southwest 11th Avenue, Portland Downtown, Portland, Metro, Multnomah County, Oregon, 97205, United States
NPI: 1821097122
9370 SW GREENBURG RD
NPI: 1194726885
2730 SW MOODY AVE # 5N032
NPI: 1053312595