Unknown Individual – General Practice Dentistry, NPI 1639170400

Unknown Individual is a healthcare provider. based in Redmond, Oregon. specializing in General Practice Dentistry. They hold a License No. D6719 (OR). The NPI Number for Unknown Individual is 1639170400

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1639170400
Phone
(541) 548-4064
Address
200 S. 7TH ST.
Deactivation Date
26 February 2026
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

Provider Addresses for Unknown Individual

  • 200 S. 7TH ST.

    REDMOND, OR 97756

    Phone: (541) 548-4064

    Fax: (541) 923-2355

    Type: Location

  • 20900 YOUNG AVE

    BEND, OR 977018461

    Phone: (541) 548-4064

    Fax: (541) 923-2355

    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 97756)

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 1639170400 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.
What kind of provider is Unknown Individual?
The page reflects General Practice Dentistry for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Redmond, Oregon because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1639170400. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

Unknown Individual

General Practice Dentistry
PO BOX 490
NPI: 1407853765

JARED R. ANDERSON DDS PC

General Practice Dentistry
774, Southwest Rimrock Drive, Redmond, Deschutes County, Oregon, 97756, United States
NPI: 1124020920

CHAD STEPHENSON (DDS)

General Practice Dentistry
1740, West 17th Avenue, Westmoreland Commercial, Eugene, Lane County, Oregon, 97402, United States
NPI: 1568432409

MAX W HIGBEE DMD PC

General Practice Dentistry
1765, Southwest Parkway Drive, Redmond, Deschutes County, Oregon, 97756, United States
NPI: 1902862709

RICHARD H FIXOTT (DDS)

General Practice Dentistry
Southwest 21st Place, Redmond, Deschutes County, Oregon, 97756, United States
NPI: 1194781419

DR. MAX W HIGBEE (D.M.D.)

General Practice Dentistry
1765, Southwest Parkway Drive, Redmond, Deschutes County, Oregon, 97756, United States
NPI: 1245289875

DR. TONY PARSLEY (D.M.D.)

General Practice Dentistry
1765, Southwest Parkway Drive, Redmond, Deschutes County, Oregon, 97756, United States
NPI: 1336199488

DR. MARY KATHLEEN HARRELL (DMD)

General Practice Dentistry
621 N Main St.
NPI: 1083640007

DR. BROOK A DERENZY (D.D.S.)

General Practice Dentistry
1553 NW Canal Blvd
NPI: 1831125426