David E Daxon

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Practice address

1768 30TH St S
St Petersburg, FL 33712-2536

Phone

(727) 307-9190

NPI assigned

Feb 6, 2022

Last updated

Feb 6, 2022By 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 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1644105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644105600000",
    "number": "1235883547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1768 30TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337122536",
            "telephone_number": "727-307-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 30TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337122536",
            "telephone_number": "727-307-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAXON",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-06",
        "last_updated": "2022-02-06",
        "certification_date": "2022-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "creatingthewayllc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1768 30th St S",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337122536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robin L. Davitt, EDD, ARNP, BC
• Rachel Dawkins, M.D.
• Jill Lisa Dawson, RPTA
• Lowell Dean Dawson, M.D.
• Daxon & Grundset PLLC (Daxon & Grundset Dentistry)
• Kimberley Danley Daxon, D.D.S.
• Bruce Edward Day, MD
• Maritza Tovar Day, M.D.
• Savannah Michelle Day, PTA
• Timothy Zack Day, PA-C

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2022; 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.