Individual provider Active NPI

Benjamin Boonchai Apichai, EAMP

  • Acupuncturist
  • Seattle, WA
National Provider Identifier
1508905720
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 381 Issued in WA
Practice address
12025 Lake City Way NE Ste B
Seattle, WA 98125-5331
Phone
(206) 289-0303
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 381 WA Primary

Addresses

Primary practice location

12025 Lake City Way NE Ste B
Seattle, WA 98125-5331

Mailing address

11345 30TH Ave NE
Seattle, WA 98125-6858
Phone (206) 289-0303

Other identifiers 2

IdentifierTypeStateIssuer
1548APOtherWABLUE SHIELD # VM
US5069591OtherWAAETNA PCP PIN VM

Other names 1

  • Mr. Boonchai Apirakchai Former name

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
AC 381WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Bastyr University Acupuncturist Past Accepting new patients
Boonchai Corporation Acupuncturist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1508905720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11345 30TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256858",
            "telephone_number": "206-289-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12025 LAKE CITY WAY NE STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255331",
            "telephone_number": "206-289-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APICHAI",
        "first_name": "BENJAMIN",
        "middle_name": "BOONCHAI",
        "name_prefix": "Mr.",
        "credential": "EAMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC 381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD #  VM",
            "identifier": "1548AP",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PCP PIN  VM",
            "identifier": "US5069591",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOONCHAI",
            "last_name": "APIRAKCHAI",
            "prefix": "MR.",
            "credential": "L.AC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.