DAVID JONATHAN WILDE (NPI# 1669785440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669785440 |
| Entity Type | Individual |
| Full Name | DAVID JONATHAN WILDE |
| Credential | CMHC |
| Practice Address |
10038 S Countrywood Dr Sandy UT 84092 |
| Mailing Address |
10038 S Countrywood Dr Sandy UT 84092-3747 |
| Practice Telephone | 8017833853 |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2018-05-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4925801-6009 | UT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | RAILROAD MEDICARE | 260022408 | 01 |
| UT | 876000308007 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982786463 | David S Wilde | Social Worker | 4 Terry Drive, The Atrium, Suite 17a, Newtown, PA 18940 | 2006-10-20 |
| 1184253270 | David J Wilde | Student in an Organized Health Care Education/Training Program | 9330 State Road 54, Trinity, FL 34655-1808 | 2020-04-02 |
| 1477015246 | David Chamberlayne Wilde Jr. | Student in an Organized Health Care Education/Training Program | 1504 Ben Taub Loop, Houston, TX 77030 | 2019-04-02 |
| 1225471352 | David Brian Wilde | General Practice | 6701 Democracy Blvd, Room 911, Bethesda, MD 20892-4874 | 2013-04-08 |
| 1013182658 | David Wilde | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2008-04-24 |
| 1467581363 | David N Wilde | Counselor | 12166 Old Big Bend Rd, Ste 307, Saint Louis, MO 63122-6844 | 2007-03-05 |
| Street Address |
10038 S COUNTRYWOOD DR |
| City | SANDY |
| State | UT |
| Zip Code | 84092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922580687 | Michael L Wolf | Registered Nurse | 9915 S 2240 E, Sandy, UT 84092 | 2018-08-29 |
| 1780193763 | Marcia Marie Mitchell | Internal Medicine | 4 Longwood Lane, Sandy, UT 84092 | 2017-09-22 |
| 1154737427 | Sandy Shores Pediatric Dentistry | Dentist | 1434 E. 9400 S. #205, Sandy, UT 84092 | 2014-07-08 |
| 1629349915 | David Adams | Counselor | 10306 South 2375 East, Alta, UT 84092 | 2012-01-19 |
| 1043511587 | Edward Chipman Spencer | Orthopaedic Surgery | 3260 East 9425 South, Sandy, UT 84092 | 2010-11-16 |
| 1396057592 | Joshua Taylor Silva | Preventive Medicine | 2878 E Wasatch Blvd, Sandy, UT 84092 | 2010-07-06 |
| 1467619809 | Deborah J. Dean | Clinical Nurse Specialist | 9768 Eastdell Dr, Sandy, UT 84092 | 2008-05-22 |
| 1780781682 | Michael Ryan Adams | Family Medicine | 7998 South 1300 East, Sandy, UT 84092 | 2006-09-20 |
| 1194853390 | William S Hoge | Pharmacist | 9500 E Little Cottonwood Cny Rd, Snowbird, UT 84092-0000 | 2007-03-01 |
| 1841466018 | Van O. Austin | Psychoanalyst | 9500 East Little Cottonwood Canyon Road, Box 920013, Snowbird, UT 84092-0013 | 2008-05-07 |
| Find all providers in zip 84092 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972141653 | Sarah Elizabeth Kumm | Counselor | 39065 Pioneer Blvd Ste 104, Sandy, OR 97055-8088 | 2019-12-13 |
| 1053832261 | Julie Ann Jardine Tucker | Counselor | 9192 S 300 W Ste 17a, Sandy, UT 84070-2673 | 2017-06-28 |
| 1164795902 | Bernadette Smith | Counselor | 7903 Harvel Dr, Sandy, UT 84070-0118 | 2012-02-09 |
| 1104121599 | Danielle H. Dana | Counselor | 8665 Aspen Way, Sandy, UT 84093-1830 | 2011-01-17 |
| 1578799177 | Froerer Counseling Services | Counselor | 11075 S State St Ste 28, Sandy, UT 84070-5176 | 2009-06-09 |
| 1366603409 | Rod W Jeppsen | Counselor | 9500 S 500 W, Suite 209, Sandy, UT 84070-2574 | 2008-06-20 |
| 1801060496 | David Wenzel | Counselor | 39085 Pioneer Blvd Ste 104, Sandy, OR 97055-8062 | 2008-04-15 |
| 1003002544 | Jacqueline Hyde | Counselor | 10151 Majestic Canyon Rd, Sandy, UT 84092-4521 | 2007-09-19 |
| 1497870588 | Chandra Lee Roberson | Counselor | 8188 So. Highland Drive, Suite D-4, Sandy, UT 84093 | 2007-03-20 |
| 1053484014 | Catherine Benton | Counselor | 8188 Highland Dr, Suite D4, Sandy, UT 84093-6476 | 2006-11-16 |
| Find all providers in SANDY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.