Unknown Individual – Neurological Surgery Physician, NPI 1164404240

Unknown Individual is a healthcare provider. based in Dallas, Texas. specializing in Neurological Surgery Physician. They hold a License No. C4608 (AR). The NPI Number for Unknown Individual is 1164404240

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1164404240
Phone
(888) 661-2020
Address
PO BOX 911259
Deactivation Date
17 November 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

  • PO BOX 911259

    DALLAS, TX 753911259

    Phone: (888) 661-2020

    Type: Mailing

  • Richards Road, North Little Rock, Pulaski County, Arkansas, 72117, United States

    SUITE A

    NORTH LITTLE ROCK, AR 721172650

    Phone: (501) 945-4845

    Fax: (501) 945-4865

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $464.

Total Amount is formed as General ($464) + Research ($0) + Ownership ($0) = $464.

Last reported payment date: 2023-04-19 • Largest payer in this snapshot: Abbott Laboratories ($464).

Total Amount

$464

General + Research + Ownership

Payments

2

Total payment records

General Amount

$464

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$464
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 75391)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1164404240 — is the standard way to identify this listing.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Dallas, Texas as a primary anchor for Unknown Individual unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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