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

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.

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 IDStateProvider typePAC IDDetails
I20120502000242 MN Practitioner - Chiropractic 0840452181 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
5626MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Axness Chiropractic PLLC Chiropractor Current
since Mar 21, 2012
Accepting new patients
Aim-Axness Integrative Medicine, PLLC Current
since Aug 16, 2017
Accepting new patients

Locations

7350 Clearwater Rd
Baxter, MN 56425
Phone (218) 454-5050

Interoperability endpoints

  • Direct secure messaging: arik.axness.1@33336.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 7, 2015.

{
    "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

All providers in Baxter, MN · Chiropractor in Minnesota

Sources for this page

Verify at the official NPI Registry.