Individual provider Active NPI

Wayde Alexander Downing

  • Behavior Technician
  • Gilbert, AZ
National Provider Identifier
1659947372
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
O23792401 Issued in AZ
Practice address
5656 S Power Rd Ste 121
Gilbert, AZ 85295-8489
Phone
(480) 482-5005
NPI assigned
Jun 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X O23792401 AZ Primary

Addresses

Primary practice location

5656 S Power Rd Ste 121
Gilbert, AZ 85295-8489

Mailing address

5656 S Power Rd Ste 121
Gilbert, AZ 85295-8489
Phone (480) 482-5005

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Gilbert Other

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

LicenseStateTypeSpecialty
O23792401AZMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1659947372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 S POWER RD STE 121",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958489",
            "telephone_number": "480-482-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 S POWER RD STE 121",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958489",
            "telephone_number": "480-482-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNING",
        "first_name": "WAYDE",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AZ",
            "license": "O23792401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Gilbert",
            "affiliation": "N",
            "endpointDescription": "Gilbert",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Gilbert",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Gilbert",
            "address_1": "5656 S Power Rd Ste 121",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852958489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.