Unknown Individual – Pediatric Nurse Practitioner, NPI 1730189143

Unknown Individual is a healthcare provider. based in Rowlett, Texas. specializing in Pediatric Nurse Practitioner. They hold a License No. 664319 (TX). The NPI Number for Unknown Individual is 1730189143

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1730189143
Phone
(972) 463-5805
Address
8210 MUNICH DR
Deactivation Date
2 October 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

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Provider Addresses for Unknown Individual

  • 8210, Munich Drive, Dalrock, Rowlett, Dallas County, Texas, 75089, United States

    ROWLETT, TX 750893890

    Phone: (972) 463-5805

    Fax: (972) 681-7704

    Type: Mailing

  • 1600, Republic Parkway, Mesquite, Dallas County, Texas, 75150, United States

    SUITE 140 ROWLETT PEDIATRICS

    MESQUITE, TX 751506918

    Phone: (972) 681-7700

    Fax: (972) 681-7704

    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 75089)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1730189143 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
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 Pediatric Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Rowlett, Texas because that is what the record indicates for Unknown Individual.
What if Rowlett, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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