Dan Alan Axthelm, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

H3439 Issued in TX

Practice address

7100 Oakmont Blvd
Ste 107
Fort Worth, TX 76132-3911

Phone

(817) 764-1894

Fax

(817) 346-7545

NPI assigned

May 4, 2006

Last updated

Jun 5, 2018By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/368007/r4

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.

• Parr Foot & Ankle Specialists

  • Podiatric Clinic/Center
  • Fort Worth, TX
  • NPI 1326727124
  NPD (past)
• Parr Foot & Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • Fort Worth, TX
  • NPI 1487334215
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1417905225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD",
            "address_2": "STE 107",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323911",
            "telephone_number": "817-764-1894",
            "fax_number": "817-346-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD",
            "address_2": "STE 107",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323911",
            "telephone_number": "817-764-1894",
            "fax_number": "817-346-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXTHELM",
        "first_name": "DAN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "H3439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "POOD7434",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Elizabeth Awbrey, RBT
• Awesome Always LLC
• Susan Awwad
• Axim Medical Consulting
• Axonos Medical Group PLLC
• Julie Kay Ayala, LPC
• Tania Ayala, APRN-CNP
• David Ayaram, MD
• Ayesha Kanwal DO PLLC
• Nanci H. Aylor-Wilkerson, ARNP/CRNA

• Rheumatology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Rheumatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.