Organization Active NPI

Richard C Axel, DDS, PA

  • General Practice Dentistry
  • Norwood Young America, MN
National Provider Identifier
1891833596
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7654 Issued in MN
Legal business name
RICHARD C AXEL, DDS, PA
Practice address
522 Faxon Rd
Norwood Young America, MN 55368
Phone
(952) 201-2425
NPI assigned
Feb 2, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Richard Carlyle Axel, DDSNPI 1780722678
Title
President
Phone
(952) 201-2425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Richard C Axel DDS PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7654 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

522 Faxon Rd
Norwood Young America, MN 55368

Mailing address

PO Box 429
Norwood Young America, MN 55368-0429
Phone (952) 201-2425

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891833596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "NORWOOD YOUNG AMERICA",
            "state": "MN",
            "postal_code": "553680429",
            "telephone_number": "952-201-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 FAXON RD",
            "city": "NORWOOD YOUNG AMERICA",
            "state": "MN",
            "postal_code": "55368",
            "telephone_number": "952-201-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C AXEL, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AXEL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CARLYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-201-2425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "7654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood Young America, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.