Unknown Individual – General Practice Dentistry, NPI 1861561078

Unknown Individual is a healthcare provider. based in Kaysville, Utah. specializing in General Practice Dentistry. They hold a License No. 134656 (UT). The NPI Number for Unknown Individual is 1861561078

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1861561078
Phone
(801) 544-4204
Address
47 CRESTWOOD RD
Deactivation Date
13 March 2025
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

  • 47, East Crestwood Road, Kaysville, Davis County, Utah, 84037, United States

    SUITE 3

    KAYSVILLE, UT 840371445

    Phone: (801) 544-4204

    Fax: (801) 546-6140

    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.

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 84037)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1861561078; it appears in the national provider directory.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects General Practice Dentistry for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Utah?
You will see Kaysville, Utah on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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