Arik James Axness, D.C.
Individual provider Active NPI Chiropractor · Baxter, MN
NPI 1497029276 · NPPES record last updated Dec 7, 2015
Key facts
- NPI
- 1497029276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5626 (MN)
- Practice address
- 7350 Clearwater Road
Baxter, MN 56425-8463 - Phone
- (218) 454-5050
- Fax
- (218) 454-5052
- NPI assigned
- Feb 27, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7350 Clearwater Rd
Baxter, MN 56425-8463
Phone (218) 454-5050
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120502000242 | MN | Practitioner - Chiropractic | 0840452181 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5626 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axness Chiropractic PLLC | Chiropractor | Current |
Accepting new patients |
| Aim-Axness Integrative Medicine, PLLC | Current |
Accepting new patients |
Locations
7350 Clearwater Rd
Baxter, MN 56425
Phone (218) 454-5050
Interoperability endpoints
- arik.axness.1@33336.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5626 | MN | Yes |
Addresses
Primary practice location
7350 Clearwater Road
Baxter, MN 56425-8463
Mailing address
7350 Clearwater Road
Baxter, MN 56425-8463
Phone (218) 454-5050
NPI Registry JSON
{
"created_epoch": "1330300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1497029276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7350 CLEARWATER ROAD",
"city": "BAXTER",
"state": "MN",
"postal_code": "564258463",
"telephone_number": "218-454-5050",
"fax_number": "218-454-5052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7350 CLEARWATER ROAD",
"city": "BAXTER",
"state": "MN",
"postal_code": "564258463",
"telephone_number": "218-454-5050",
"fax_number": "218-454-5052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AXNESS",
"first_name": "ARIK",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-27",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baxter, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.