Organization Active NPI

Axon Health PC

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1972188571
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AXON HEALTH PC
Practice address
4695 Ardley Dr
Colorado Springs, CO 80922-2140
Phone
(719) 358-9460
Fax
(719) 434-2319
NPI assigned
Mar 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Dr. Erica Abraham, D.C.NPI 1952931883
Title
Chiropractor/Co-Owner
Phone
(719) 358-9460

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4695 Ardley Dr
Colorado Springs, CO 80922-2140

Mailing address

4695 Ardley Dr
Colorado Springs, CO 80922-2140
Phone (719) 358-9460

Other names 1

  • Axon Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210602001848 CO Part B Supplier - Clinic/Group Practice 8729487327 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO
O20230522000791 MD Part B Supplier - Clinic/Group Practice 8729487327 Receives reassigned benefits from 1 practitioner
Practice locations: Middle River, MD

National Provider Directory

National Provider Directory

Practitioners 2

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": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1972188571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4695 ARDLEY DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222140",
            "telephone_number": "719-358-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 ARDLEY DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222140",
            "telephone_number": "719-358-9460",
            "fax_number": "719-434-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXON HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CHIROPRACTOR/CO-OWNER",
        "authorized_official_telephone_number": "719-358-9460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axon Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.