NPIMap

Organization Active NPI

Axis Spine LLC

Doing business as Axis Spine and Sport

  • Chiropractor
  • Tempe, AZ
National Provider Identifier
1326818360
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AXIS SPINE LLC
Doing business as
Axis Spine and Sport
Practice address
2155 E University Dr Ste 110
Tempe, AZ 85288-4685
Phone
(480) 454-4776
Fax
(480) 454-4776
NPI assigned
Jan 2, 2024
Last updated
Jan 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Dr. Robert Dylan Hernandez, DCNPI 1548802333
Title
Owner
Phone
(702) 277-0578

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

2155 E University Dr Ste 110
Tempe, AZ 85288-4685

Mailing address

2155 E University Dr Ste 110
Tempe, AZ 85288-4685
Phone (480) 454-4776

Other names 1

  • Axis Spine and Sport Doing business as

National Provider Directory

National Provider Directory

Locations

2155 E University Dr
Ste 110
Tempe, AZ 85288
Phone (480) 454-4776

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1326818360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 E UNIVERSITY DR STE 110",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852884685",
            "telephone_number": "480-454-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 E UNIVERSITY DR STE 110",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852884685",
            "telephone_number": "480-454-4776",
            "fax_number": "480-454-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DYLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-277-0578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axis Spine and Sport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.