Active NPI
Michal Daniel Arasevi, LAC
- Acupuncturist
- Eagan, MN
National Provider Identifier
1063015253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 170111
- Practice address
- 3460 Washington Dr Ste 102
Eagan, MN 55122-4301 - Phone
- (651) 338-3574
- NPI assigned
- Nov 19, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 170111 | MN | Primary |
Addresses
Primary practice location
3460 Washington Dr Ste 102
Eagan, MN 55122-4301
Mailing address
18136 Dunbury CT
Farmington, MN 55024-7367
Phone (651) 808-0389
Other names 1
- Michal Daniel Kazimierski
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 |
|---|---|---|---|
| 170111 | MN | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1063015253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18136 DUNBURY CT",
"city": "FARMINGTON",
"state": "MN",
"postal_code": "550247367",
"telephone_number": "651-808-0389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3460 WASHINGTON DR STE 102",
"city": "EAGAN",
"state": "MN",
"postal_code": "551224301",
"telephone_number": "651-338-3574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARASEVI",
"first_name": "MICHAL",
"middle_name": "DANIEL",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-19",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "MN",
"license": "170111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAL",
"last_name": "KAZIMIERSKI",
"middle_name": "DANIEL",
"credential": "LAC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.