Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1417911488

Unknown Individual is a healthcare provider. based in Dallas, Texas. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 219889 (TX). The NPI Number for Unknown Individual is 1417911488

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417911488
Phone
(214) 324-6100
Address
9440 POPPY DR
Deactivation Date
5 April 2023
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

  • City Hospital at White Rock, 9440, Poppy Drive, Oaks White Rock, Dallas, TX, Dallas, Dallas County, Texas, 75218, United States

    DALLAS, TX 752183652

    Phone: (214) 324-6100

    Fax: (214) 324-4993

    Type: Location

  • 619, Madison Court, Duncanville, Dallas County, Texas, 75137, United States

    DUNCANVILLE, TX 751372537

    Phone: (972) 780-7562

    Fax: (972) 780-2199

    Type: Mailing

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.

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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 75218)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1417911488 for Unknown Individual, then check state licensing separately.
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 Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Dallas, Texas; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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