Jordan Axe, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11262 Issued in FL

Practice address

6595 S Florida Ave
Lakeland, FL 33813-3316

Phone

(863) 940-3444

NPI assigned

Feb 10, 2015

Last updated

Feb 10, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Root Cause Medical Clinic Inc

  dba Axe Holistic Medicine

  • General Practice Physician
  • Tampa, FL
  • NPI 1962854802

  Chiropractor

  NPD Authorized official
• Root Cause Medical Clinic LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tampa, FL
  • NPI 1962353656
  NPD Authorized official
• The Root Cause Clinic

  • Clinic/Center
  • Tampa, FL
  • NPI 1184174179
  NPD Authorized official

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1194116368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6595 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133316",
            "telephone_number": "863-940-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXE",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Lynn Avery, RD LD N
• Mariano Avila
• Adriene Lynn Avripas, NP
• Musa Haseeb Awan, MD
• Awesome Angels of Change LLC
• Lilliam Enid Ayala Garcia, MD
• Jiann M. Ayala
• Ayan Wellness
• Melantha Aye, MD
• Joshua Kobina Ayensu

• Chiropractor in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.