Unknown Individual – Orthodontics and Dentofacial Orthopedics Dentistry, NPI 1891720652

Unknown Individual is a healthcare provider. based in Tacoma, Washington. specializing in Orthodontics and Dentofacial Orthopedics Dentistry. They hold a License No. 7613 (WA). The NPI Number for Unknown Individual is 1891720652

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1891720652
Phone
(253) 537-5565
Address
12165 PACIFIC AVE S
Deactivation Date
24 May 2023
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

  • Pacific Avenue South, Fern Hill, South End, Tacoma, Pierce County, Washington, 98408, United States

    SUITE B

    TACOMA, WA 98444

    Phone: (253) 537-5565

    Fax: (253) 537-1588

    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 98444)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1891720652 in the public NPI dataset.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Orthodontics and Dentofacial Orthopedics Dentistry is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Tacoma, Washington in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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