Dr. Jim Anderson Axe, D.D.S.
Dentist, General Practice in Lubbock, TX. Individual provider (NPI-1).
NPI number1336216647
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1336216647
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jim Anderson Axe
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 29, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 10022 | TX | Yes |
Practice location
4501 50th StSuite 200
Lubbock, TX 79414-3613
Phone 806-799-0034 · Fax 806-771-0731
Mailing address
4501 50th StSuite 200
Lubbock, TX 79414-3613
Phone 806-799-0034 · Fax 806-771-0731
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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