Active NPI
Porntip - Chaowaratana, M.D.
- Specialist
- Florissant, MO
National Provider Identifier
1598879140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 35131
- Practice address
- 255 Dunn Rd
Florissant, MO 63031-7928 - Phone
- (314) 831-0374
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 35131 | MO | Primary |
Addresses
Primary practice location
255 Dunn Rd
Florissant, MO 63031-7928
Mailing address
255 Dunn Rd
Florissant, MO 63031-7928
Phone (314) 831-0374
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598879140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 DUNN RD",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630317928",
"telephone_number": "314-831-0374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 DUNN RD",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630317928",
"telephone_number": "314-831-0374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAOWARATANA",
"first_name": "PORNTIP",
"middle_name": "-",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "35131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florissant, MO
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.