Active NPI
Aimee Renee Axtell, RDH
- Dental Hygienist
- Salem, OR
National Provider Identifier
1447596366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H6008
- Practice address
- 3490 Lancaster Dr NE
Salem, OR 97305-1356 - Phone
- (503) 540-9041
- NPI assigned
- Dec 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H6008 | OR | Primary |
Addresses
Primary practice location
3490 Lancaster Dr NE
Salem, OR 97305-1356
Mailing address
142 SW Hendricks St
Sublimity, OR 97385-8902
Phone (541) 295-5557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H6008 | OR | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willamette Dental Group | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Salem, OR
- NPI 1992182026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356480000000",
"number": "1447596366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 SW HENDRICKS ST",
"city": "SUBLIMITY",
"state": "OR",
"postal_code": "973858902",
"telephone_number": "541-295-5557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3490 LANCASTER DR NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973051356",
"telephone_number": "503-540-9041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AXTELL",
"first_name": "AIMEE",
"middle_name": "RENEE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-20",
"last_updated": "2012-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H6008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.