Unknown Individual – Dentist, NPI 1801882642

Unknown Individual is a healthcare provider. based in Salem, Oregon. specializing in Dentist. They hold a License No. OR4792 (OR). The NPI Number for Unknown Individual is 1801882642

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1801882642
Phone
(503) 364-7722
Address
943 LIBERTY ST SE
Deactivation Date
9 June 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

  • 943, Liberty Street Southeast, Salem, Marion County, Oregon, 97311, United States

    SALEM, OR 973024138

    Phone: (503) 364-7722

    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)

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.

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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 97302)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1801882642 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Dentist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Salem?
Unknown Individual currently maps to Salem, Oregon in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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