Active NPI
David Hayes Jr.
- Contractor
- Glendale, AZ
National Provider Identifier
1457061913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 5038 N 55TH Ave Apt 2003
Glendale, AZ 85301-7559 - Phone
- (623) 419-9045
- NPI assigned
- Nov 24, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | AZ | ||
| Behavior Technician | 106S00000X | |||
| Health & Wellness Coach | 171400000X | AZ | ||
| Community Health Worker | 172V00000X | |||
| Meals Provider | 174200000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | D06541279 | AZ | |
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
5038 N 55TH Ave Apt 2003
Glendale, AZ 85301-7559
Mailing address
5038 N 55TH Ave Apt 2003
Glendale, AZ 85301-7559
Phone (623) 419-9045
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 |
|---|---|---|---|
| D06541279 | AZ | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669248000000",
"number": "1457061913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5038 N 55TH AVE APT 2003",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853017559",
"telephone_number": "623-419-9045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5038 N 55TH AVE APT 2003",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853017559",
"telephone_number": "623-419-9045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "DAVID",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-24",
"last_updated": "2022-11-24",
"certification_date": "2022-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "AZ",
"license": "D06541279",
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.