Unknown Individual – Diagnostic Radiology Physician, NPI 1811995814

Unknown Individual is a healthcare provider. based in Bountiful, Utah. specializing in Diagnostic Radiology Physician. They hold a License No. 149562-1205 (UT). The NPI Number for Unknown Individual is 1811995814

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1811995814
Phone
(801) 296-2113
Address
PO BOX 1169
Deactivation Date
2 April 2026
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 1169

    BOUNTIFUL, UT 840111169

    Phone: (801) 296-2113

    Fax: (801) 296-1715

    Type: Mailing

  • Jordan Valley Medical Center - West Valley Campus, 3460, Pioneer Parkway, West Valley City, Salt Lake County, Utah, 84120, United States

    WEST VALLEY CITY, UT 841202049

    Phone: (801) 964-3100

    Fax: (801) 296-1715

    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 84011)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1811995814 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.
What kind of provider is Unknown Individual?
The page reflects Diagnostic Radiology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Bountiful, Utah for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1811995814. Always confirm identity and privileges with the practice and licensing boards.

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