Unknown Individual – Sports Medicine (Family Medicine) Physician, NPI 1730178427

Unknown Individual is a healthcare provider. based in Dallas, Texas. specializing in Sports Medicine (Family Medicine) Physician. They hold a License No. E1461 (TX). The NPI Number for Unknown Individual is 1730178427

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1730178427
Phone
(817) 852-8440
Address
PO BOX 911294
Deactivation Date
10 September 2021
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

  • PO BOX 911294

    DALLAS, TX 753911294

    Phone: (817) 852-8440

    Type: Mailing

  • John Peter Smith Hospital, 1500, South Main Street, Fort Worth, Tarrant County, Texas, 76104, United States

    ARLINGTON ORTHOPEDIC AND SPORTS CLINIC

    FORT WORTH, TX 761044917

    Phone: (817) 920-7150

    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

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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 75391)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1730178427 if you need a stable reference for Unknown Individual.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Dallas, Texas for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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