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Deactivated NPI 1891939765 Deactivated / Inactive NPI Male Practitioner

Dr. Gary L Axley , DOM

Acupuncturist • Roland, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gary Axley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 23, 2009
NPI Deactivation Date January 11, 2022
Total Practice Duration ~13 Years of Practice (2009 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Gary Axley, DOM was a registered Acupuncturist practicing in Roland, OK. Throughout an active medical career spanning 13 years, Dr. Axley provided care at the practice location at 303 E. RAY FINE BLVD until profile deactivation on 2022-01-11.

Practice Location & Contact Primary Location

Practice Address

303 E. Ray Fine Blvd
Ste 3

Roland, OK 74954

Telephone 9184270900
Fax 8885951717

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Roland, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Roland, OK (53 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License AR LAC009

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 11, 2022

Record deactivated on January 11, 2022

NPI Profile Active January 19, 2011

NPI status registered as active in NPPES database

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Updated Practice Location January 19, 2011

Registered at 303 E. RAY FINE BLVD, STE 3, ROLAND, OK 74954 (Tel: 9184270900)

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Updated Business Mailing Address January 19, 2011

Registered at PO BOX 363, ROLAND, OK 74954 (Tel: 9184270900)

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Provider Name / Credentials Updated January 19, 2011

Recorded as GARY AXLEY, DOM

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2011

Acupuncturist (License #LAC009 in AR)

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Initial NPI Registration & Enumeration April 23, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891939765
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2009
Last Update: January 19, 2011
Deactivation Date: January 11, 2022

Mailing Address

Po Box 363

Roland, OK 74954

Phone: 9184270900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.