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Axis Nephrology Pllc

Axis Nephrology Pllc is a healthcare organization registered as Nephrology Physician in Tacoma, WA, holding Type 2 (organization) NPI 1104868462 since 2006. The authorized official on file is David Dempster, Credentialing- Billing Specialist.

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NPI 1104868462
Entity type Organization (Type 2)
Legal business name Axis Nephrology Pllc
Practice address 1708 S YAKIMA AVE, SUITE 107, Tacoma, WA, 98405
Phone 2532725881
Fax 2533830161
Enumeration date 2006-06-12
Last updated in NPPES 2008-06-16

Authorized official

Name David Dempster
Title Credentialing- Billing Specialist
Phone 2532725881

Taxonomy & classification

Taxonomy code Specialty Primary License State
207RN0300X Nephrology Physician Primary MD00040610 WA

Other identifiers

Identifier Type State Issuer
7128556 Medicaid WA
Copy-ready billing details
Provider: Axis Nephrology Pllc
NPI: 1104868462
Taxonomy: 207RN0300X (Nephrology Physician)
Address: 1708 S YAKIMA AVE, SUITE 107, Tacoma, WA, 98405

Providers at this address

NPI Name Type Specialty Location
1598970675 Paul Scott Individual Foot & Ankle Surgery Podiatrist Tacoma, WA
1295024727 Qin Ouyang Individual Endocrinology, Diabetes & Metabolism Physician Tacoma, WA
1831038769 Nathan Arreola Individual Student in an Organized Health Care Education/Training Program Tacoma, WA

Verify this record

Cross-check NPI 1104868462 against the authoritative CMS record: view Axis Nephrology Pllc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is the NPI number for Axis Nephrology Pllc?
The NPI for Axis Nephrology Pllc is 1104868462, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Axis Nephrology Pllc?
NPPES lists David Dempster (Credentialing- Billing Specialist) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-06-16.