Individual provider Active NPI

Nirada Chowwiwat, L.AC.

  • Acupuncturist
  • Saint Paul, MN
National Provider Identifier
1912306085
Registry record updated Dec 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1703 Issued in MN
Practice address
1001 Johnson Pkwy
Suite A5
Saint Paul, MN 55106-3474
Phone
(651) 231-0292
Fax
(651) 340-3213
NPI assigned
Aug 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1703 MN Primary

Addresses

Primary practice location

1001 Johnson Pkwy
Suite A5
Saint Paul, MN 55106-3474

Mailing address

1001 Johnson Pkwy
Suite A5
Saint Paul, MN 55106-3474
Phone (651) 231-0292

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
1703MNMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449878400000",
    "number": "1912306085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 JOHNSON PKWY",
            "address_2": "SUITE A5",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551063474",
            "telephone_number": "651-231-0292",
            "fax_number": "651-340-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 JOHNSON PKWY",
            "address_2": "SUITE A5",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551063474",
            "telephone_number": "651-231-0292",
            "fax_number": "651-340-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWWIWAT",
        "first_name": "NIRADA",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2015-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2015; 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.