Unknown Individual – Registered Nurse, NPI 1053704510

Unknown Individual is a healthcare provider. based in Dallas, Texas. specializing in Registered Nurse. They hold a License No. 595188 (TX). The NPI Number for Unknown Individual is 1053704510

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053704510
Phone
(972) 207-6949
Address
11150 VALLEYDALE DR APT C
Deactivation Date
16 May 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 11150 VALLEYDALE DR APT C

    DALLAS, TX 752303347

    Phone: (972) 207-6949

    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.

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 75230)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1053704510 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Registered Nurse for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Dallas, Texas for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1053704510. Always confirm identity and privileges with the practice and licensing boards.

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