Axelrode Orthodontics Vallejo California

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

45640 Issued in CA

Legal business name

AXELRODE ORTHODONTICS VALLEJO CALIFORNIA

Practice address

15 Rotary Way
Vallejo, CA 94591-8475

Phone

(707) 643-2307

NPI assigned

Dec 16, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Eric L Axelrode, DDS, MSD

Title

Owner

Phone

(707) 643-2307

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kenneth Frederick Freer, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Vallejo, CA
  • NPI 1750434536
  NPD (past)

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1972924090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ROTARY WAY",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945918475",
            "telephone_number": "707-643-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ROTARY WAY",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945918475",
            "telephone_number": "707-643-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXELRODE ORTHODONTICS VALLEJO CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "AXELRODE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-643-2307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "45640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lyn Avelino
• Menlo Jayson Avestro II
• Steffany Avila
• Yeraldine Avila
• Hisham Awadalla, PHARMD
• Daniel Ayala-Ayala
• Valeria Quinones Ayala, RPH
• Erika Del Refugio Ayar, MD
• Emmanuel Ayawvi
• Sabah Ayubyar

• Orthodontics and Dentofacial Orthopedics Dentistry in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.