Active NPI
Jirapun Laiprasert, M.D.
- Rehabilitation Practitioner
- Jackson, MS
National Provider Identifier
1548354830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 33825
- Practice address
- 1500 East Woodrow Willson Drive
Jackson, MS 39216 - Phone
- (601) 362-4472
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 33825 | MO | Primary |
Addresses
Primary practice location
1500 East Woodrow Willson Drive
Jackson, MS 39216
Mailing address
761 Rice Road, Apt # 519
Ridgeland, MS 39157
Phone (601) 605-9704
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33825 | MO | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548354830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761 RICE ROAD, APT # 519",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "39157",
"telephone_number": "601-605-9704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 EAST WOODROW WILLSON DRIVE",
"city": "JACKSON",
"state": "MS",
"postal_code": "39216",
"telephone_number": "601-362-4472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAIPRASERT",
"first_name": "JIRAPUN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "MO",
"license": "33825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.