Active NPI
Watcharoot Kanchongkittiphon
- Student in an Organized Health Care Education/Training Program
- Detroit, MI
National Provider Identifier
1952720872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3901 Beaubien Blvd.
Children'S Hospital of Michigan
Detroit, MI 48201 - Phone
- (313) 745-1892
- NPI assigned
- Apr 8, 2014
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
3901 Beaubien Blvd.
Children'S Hospital of Michigan
Detroit, MI 48201
Mailing address
1 Lafeyette Plaisance St
Apt 1103
Detroit, MI 48207
Phone (857) 200-7407
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451347200000",
"number": "1952720872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LAFEYETTE PLAISANCE ST",
"address_2": "APT 1103",
"city": "DETROIT",
"state": "MI",
"postal_code": "48207",
"telephone_number": "857-200-7407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 BEAUBIEN BLVD.",
"address_2": "CHILDREN'S HOSPITAL OF MICHIGAN",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-745-1892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANCHONGKITTIPHON",
"first_name": "WATCHAROOT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-08",
"last_updated": "2015-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.