Axis Nephrology PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD00040610 Issued in WA

Legal business name

AXIS NEPHROLOGY PLLC

Practice address

1708 S Yakima Ave
Suite 107
Tacoma, WA 98405

Phone

(253) 272-5881

Fax

(253) 383-0161

NPI assigned

Jun 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David W DempsterNPI 1861438558

Title

Credentialing- Billing Specialist

Phone

(253) 272-5881

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David W Dempster, MD

  • Nephrology Physician
  • Tacoma, WA
  • NPI 1861438558
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1104868462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 S YAKIMA AVE",
            "address_2": "SUITE 107",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-272-5881",
            "fax_number": "253-383-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 S YAKIMA AVE",
            "address_2": "SUITE 107",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-272-5881",
            "fax_number": "253-383-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS NEPHROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "DEMPSTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CREDENTIALING- BILLING SPECIALIST",
        "authorized_official_telephone_number": "253-272-5881",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD00040610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7128556",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richelle Marie Avila, RDA
• Meghana Shashikant Awad, M.D.
• Raseel A Aws, AA
• Paul Douglas Axford, MD
• Axis Mental Health
• Molly Axworthy
• Cristopher Ayala, LPN
• Jacob Adrian Ayala
• Margie Ayala
• Deborah J Ayars, MD

• Nephrology Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Nephrology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.