Organization Active NPI

Axiom Pain Management, LLC

  • Health Maintenance Organization
  • Jacksonville, FL
National Provider Identifier
1639455405
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
AXIOM PAIN MANAGEMENT, LLC
Practice address
2160 Dunn Ave # 1
Jacksonville, FL 32218-4718
Phone
(904) 743-2222
NPI assigned
Oct 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Dr. Vipul Patel, D.C.
Title
President
Phone
(904) 743-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

2160 Dunn Ave # 1
Jacksonville, FL 32218-4718

Mailing address

2160 Dunn Ave # 1
Jacksonville, FL 32218-4718
Phone (904) 743-2222

National Provider Directory

National Provider Directory
Tax ID family
Axiom Pain Management LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2160 Dunn Ave
#1
Jacksonville, FL 32218

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1639455405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 DUNN AVE # 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184718",
            "telephone_number": "904-743-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 DUNN AVE # 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184718",
            "telephone_number": "904-743-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIOM PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIPUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-743-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.