Axness Chiropractic PLLC
Organization Active NPI Chiropractor · Baxter, MN
NPI 1013273416 · NPPES record last updated Dec 13, 2016
Key facts
- NPI
- 1013273416
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5626 (MN)
- Legal business name
- AXNESS CHIROPRACTIC PLLC
- Practice address
- 7350 Clearwater Rd
Baxter, MN 56425-8463 - Phone
- (218) 454-5050
- Fax
- (218) 454-5052
- NPI assigned
- Apr 10, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Arik James Axness, DC
- Title
- Chiropractor/Owner
- Phone
- (218) 454-5050
Practitioners 17
-
Arik James Axness, D.C.
-
Sarah Campos, MSN, APRN, A-GNP-C
-
Nancy Lynne Moyer, M.D.
-
Wyatt John Orth, DNP, CNP
-
Ammber Sahr, FNP
-
Elsie Wang Weiler, M.D.
-
Donald Norman Olson, D.P.T.
-
Brian Kasel, PA-C
-
Jenna Niggeler, L.AC
-
Lisa Marie Williams, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120502000208 | MN | Part B Supplier - Clinic/Group Practice | 9931361276 |
Receives reassigned benefits from 1 practitioner Practice locations: Baxter, MN |
National Provider Directory
Locations
7350 Clearwater Rd
Ste 201
Baxter, MN 56425
7350 Clearwater Rd
Baxter, MN 56425
Phone (218) 454-5050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 5626 | MN | Yes |
Addresses
Primary practice location
7350 Clearwater Rd
Baxter, MN 56425-8463
Mailing address
7350 Clearwater Rd
Baxter, MN 56425-8463
Phone (218) 454-5050
Other names
- Axness Chiropractic Massage and Wellness
Other providers in Baxter, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.