Unknown Individual – Occupational Medicine Physician, NPI 1720102023

Unknown Individual is a healthcare provider. based in Addison, Texas. specializing in Occupational Medicine Physician. They hold a License No. G52920 (CA). The NPI Number for Unknown Individual is 1720102023

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720102023
Phone
(972) 364-8000
Address
5080 SPECTRUM DR
Deactivation Date
23 January 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

Provider Addresses for Unknown Individual

  • 5080 SPECTRUM DR

    SUITE 1200 WEST

    ADDISON, TX 750014648

    Phone: (972) 364-8000

    Type: Mailing

  • 640 S PLACENTIA AVE

    PLACENTIA, CA 928706300

    Phone: (615) 778-4066

    Type: Location

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 75001)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1720102023.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Occupational Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Addison, Texas in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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