Unknown Individual – Audiologist, NPI 1780633511

Unknown Individual is a healthcare provider. based in Salt lake city, Utah. specializing in Audiologist. They hold a License No. 22-104128-4101 (UT). The NPI Number for Unknown Individual is 1780633511

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1780633511
Phone
(801) 584-8215
Address
44 N MEDICAL DR
Deactivation Date
11 January 2022
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

  • 44, North Medical Drive, Salt Lake City, Salt Lake County, Utah, 84113, United States

    SALT LAKE CITY, UT 841131105

    Phone: (801) 584-8215

    Type: Location

  • 1206, North 150 East, Fort Lane, Layton, Davis County, Utah, 84041, United States

    LAYTON, UT 840412422

    Phone: (801) 544-1010

    Type: Mailing

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.

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 84113)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1780633511 for Unknown Individual.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Audiologist. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Salt Lake City, Utah in registry-derived data.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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