Active NPI
Michael Wayne Giddings, LADAC
- Addiction (Substance Use Disorder) Counselor
- Albuquerque, NM
National Provider Identifier
1104040088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 005486
- Practice address
- 1528 Five Points Rd SW
Albuquerque, NM 87105-3014 - Phone
- (505) 242-6919
- Fax
- (505) 242-6929
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 005486 | NM | Primary |
Addresses
Primary practice location
1528 Five Points Rd SW
Albuquerque, NM 87105-3014
Mailing address
606 Calle Don Demetrio NE
Los Lunas, NM 87031-9360
Phone (505) 865-6748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005486 | NM | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260144000000",
"number": "1104040088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 CALLE DON DEMETRIO NE",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870319360",
"telephone_number": "505-865-6748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1528 FIVE POINTS RD SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871053014",
"telephone_number": "505-242-6919",
"fax_number": "505-242-6929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIDDINGS",
"first_name": "MICHAEL",
"middle_name": "WAYNE",
"credential": "LADAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2009-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "005486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.