Individual provider Active NPI

Thomas J Axelson, DC

  • Chiropractor
  • New Bern, NC
National Provider Identifier
1316959117
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2478 Issued in NC
Practice address
901 Newman Rd
New Bern, NC 28562-5252
Phone
(252) 633-3334
Fax
(252) 637-4483
NPI assigned
Aug 12, 2006
Last updated
Aug 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2478 NC Primary

Addresses

Primary practice location

901 Newman Rd
New Bern, NC 28562-5252

Mailing address

901 Newman Rd
New Bern, NC 28562-5252
Phone (252) 633-3334

Other identifiers 4

IdentifierTypeStateIssuer
890833GMedicaidNC
0833GOtherNCBCBS PROVIDER NUMBER
350046002OtherNCRAILROAD MEDICARE
890833FTMedicaidNC

Other names 1

  • Thomas J Axelson Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090615000023 NC Practitioner - Chiropractic 2062480890 Receives reassigned benefits from 4 practitioners
Practice locations: Alliance, NC; New Bern, NC

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

901 Newman Rd
New Bern, NC 28562-5252
Phone (252) 633-3334

Merit-based Incentive Payment System (MIPS)

Final score
30 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2478NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Axelson Chiropractic Health Center, PA Chiropractor PastSince Jan 1, 1990 Accepting new patients
Axelson Chiropractic Health Center, P.a. Chiropractor PastSince Jan 1, 1990 Accepting new patients
Carolina Active Care Chiropractic Chiropractor PastSince Dec 7, 2006 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1316959117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625252",
            "telephone_number": "252-633-3334",
            "fax_number": "252-637-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625252",
            "telephone_number": "252-633-3334",
            "fax_number": "252-637-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXELSON",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890833G",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0833G",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350046002",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890833FT",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "AXELSON",
            "middle_name": "J",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.