Unknown Individual – MOHS-Micrographic Surgery Physician, NPI 1710961248

Unknown Individual is a healthcare provider. based in Dallas, Texas. specializing in MOHS-Micrographic Surgery Physician. They hold a License No. E6759 (TX). The NPI Number for Unknown Individual is 1710961248

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710961248
Phone
(214) 468-0403
Address
2215 CEDAR SPRINGS RD
Deactivation Date
1 May 2025
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

  • 2215, Cedar Springs Road, Kyle Warren Park-Arts District PID, Dallas, TX, Dallas, Dallas County, Texas, 75201, United States

    SUITE 1101

    DALLAS, TX 752011859

    Phone: (214) 468-0403

    Fax: (214) 468-8375

    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 75201)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1710961248 as the unique 10-digit identifier.
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 MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Dallas, Texas.
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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