Unknown Individual – Pain Medicine (Psychiatry & Neurology) Physician, NPI 1508814807

Unknown Individual is a healthcare provider. based in Dallas, Texas. specializing in Pain Medicine (Psychiatry & Neurology) Physician. They hold a License No. MDG9190 (TX). The NPI Number for Unknown Individual is 1508814807

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1508814807
Phone
(214) 351-6600
Address
5701 MAPLE AVE
Deactivation Date
23 October 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 5701, Maple Avenue, Dallas, TX, Dallas, Dallas County, Texas, 75219, United States

    STE 100

    DALLAS, TX 752356519

    Phone: (214) 351-6600

    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 75235)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1508814807 for Unknown Individual.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Pain Medicine (Psychiatry & Neurology) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Dallas, Texas?
For routing, start with Dallas, Texas for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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