Unknown Individual – Dentist, NPI 1710011812

Unknown Individual is a healthcare provider. based in Keller, Texas. specializing in Dentist. They hold a License No. 7274 (TX). The NPI Number for Unknown Individual is 1710011812

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710011812
Phone
(817) 431-1622
Address
238 N MAIN ST
Deactivation Date
26 July 2024
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

Provider Addresses for Unknown Individual

  • 238 N MAIN ST

    SUITE #A

    KELLER, TX 762487429

    Phone: (817) 431-1622

    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 76248)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1710011812 — the number used across U.S. healthcare to identify this provider.
Is inactive the same as retired for Unknown Individual?
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 associated with Keller?
Public fields place Unknown Individual around Keller, Texas. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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