Unknown Individual – Orthodontics and Dentofacial Orthopedics Dentistry, NPI 1902803638

Unknown Individual is a healthcare provider. based in Boerne, Texas. specializing in Orthodontics and Dentofacial Orthopedics Dentistry. They hold a License No. 14904 (TX). The NPI Number for Unknown Individual is 1902803638

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1902803638
Phone
(830) 249-2495
Address
123 MEDICAL DR
Deactivation Date
12 December 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

  • 123, Medical Drive, Boerne, Kendall County, Texas, 78006, United States

    BOERNE, TX 780061830

    Phone: (830) 249-2495

    Fax: (830) 249-8228

    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 78006)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1902803638 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Orthodontics and Dentofacial Orthopedics Dentistry in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Boerne?
Unknown Individual currently maps to Boerne, Texas in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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