Organization Active NPI

Making Waves Autism Center

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1437749991
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MAKING WAVES AUTISM CENTER
Practice address
3531 E Russell Rd Ste a
Las Vegas, NV 89120-2246
Phone
(702) 547-9819
NPI assigned
Jan 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Eric Williams
Title
Founder
Phone
(702) 673-8209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

3531 E Russell Rd Ste a
Las Vegas, NV 89120-2246

Mailing address

5225 E Charleston Blvd Apt 1074
Las Vegas, NV 89142-1029
Phone (725) 219-7434

National Provider Directory

National Provider Directory

Locations

3531 E Russell Rd
Ste A
Las Vegas, NV 89120
Phone (702) 547-9819

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1437749991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 E CHARLESTON BLVD APT 1074",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891421029",
            "telephone_number": "725-219-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 E RUSSELL RD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202246",
            "telephone_number": "702-547-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKING WAVES AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "702-673-8209"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.