Organization Active NPI

Axis Health, PLLC

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1275715591
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034123 Issued in WA
Legal business name
AXIS HEALTH, PLLC
Practice address
1401 E Jefferson St
Suite 501
Seattle, WA 98122-5576
Phone
(206) 324-2225
Fax
(206) 324-5244
NPI assigned
Nov 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Dr. Aphrodite Corinne Xidos, D.C.NPI 1558559385
Title
Owner
Phone
(206) 324-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00034123 WA Primary

Addresses

Primary practice location

1401 E Jefferson St
Suite 501
Seattle, WA 98122-5576

Mailing address

1401 E Jefferson St
Suite 501
Seattle, WA 98122-5576
Phone (206) 324-2225

Other identifiers 6

IdentifierTypeStateIssuer
1558559385OtherWAPROVIDER NPI
196797OtherWASTATE LABOR & INDUSTRIES
MA00023886OtherWAMASSAGE LICENSE
U93842OtherWAUPIN
CH00034123OtherWASTATE LICENSE
CH00102OtherOFFICEALLY

Other names 1

  • Atlas Chiropractic Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050818000681 WA Part B Supplier - Clinic/Group Practice 7214967249 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

1401 E Jefferson St
Ste 501
Seattle, WA 98122
Phone (206) 324-2225

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1275715591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E JEFFERSON ST",
            "address_2": "SUITE 501",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225576",
            "telephone_number": "206-324-2225",
            "fax_number": "206-324-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E JEFFERSON ST",
            "address_2": "SUITE 501",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225576",
            "telephone_number": "206-324-2225",
            "fax_number": "206-324-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "XIDOS",
        "authorized_official_first_name": "APHRODITE",
        "authorized_official_middle_name": "CORINNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-324-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1558559385",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LABOR & INDUSTRIES",
            "identifier": "196797",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE",
            "identifier": "MA00023886",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U93842",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CH00034123",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICEALLY",
            "identifier": "CH00102",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlas Chiropractic Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.