Active NPI
Stephen Axelrod, M.D.
- General Practice Physician
- Denver, CO
National Provider Identifier
1104212927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 22831
- Practice address
- 2111 S Trenton Way
Suite 101
Denver, CO 80231-7012 - Phone
- (303) 399-1088
- NPI assigned
- Apr 8, 2015
- Last updated
- Apr 8, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 22831 | CO | Primary |
Addresses
Primary practice location
2111 S Trenton Way
Suite 101
Denver, CO 80231-7012
Mailing address
45 S Dexter St
Denver, CO 80246-1050
Phone (303) 399-1088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22831 | CO | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428451200000",
"number": "1104212927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 S DEXTER ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802461050",
"telephone_number": "303-399-1088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 S TRENTON WAY",
"address_2": "SUITE 101",
"city": "DENVER",
"state": "CO",
"postal_code": "802317012",
"telephone_number": "303-399-1088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AXELROD",
"first_name": "STEPHEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-08",
"last_updated": "2015-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CO",
"license": "22831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.