Organization Active NPI

Kevin T. Axx DDS, PLLC

  • Endodontics
  • Phoenix, AZ
National Provider Identifier
1467917427
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
KEVIN T. AXX DDS, PLLC
Practice address
5050 N 40TH St Ste 160
Phoenix, AZ 85018-9181
Phone
(602) 892-9000
Fax
(602) 892-8000
NPI assigned
Feb 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Authorized official

Name
Dr. Kevin T Axx, DDS
Title
Owner Endodontist
Phone
(602) 892-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

5050 N 40TH St Ste 160
Phoenix, AZ 85018-9181

Mailing address

5050 N 40TH St Ste 160
Phoenix, AZ 85018-9181
Phone (602) 892-9000

National Provider Directory

National Provider Directory

Locations

5050 N 40th St
Ste 160
Phoenix, AZ 85018
Phone (602) 892-9000

Practitioners & affiliated clinicians

Practitioners 1

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": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1467917427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 N 40TH ST STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850189181",
            "telephone_number": "602-892-9000",
            "fax_number": "602-892-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 N 40TH ST STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850189181",
            "telephone_number": "602-892-9000",
            "fax_number": "602-892-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN T. AXX DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "AXX",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER ENDODONTIST",
        "authorized_official_telephone_number": "602-892-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.