Individual provider Active NPI

Teerawong Kasiolarn, N.D., M.S.A., L.AC.

  • Naturopath
  • Washington, DC
National Provider Identifier
1992711717
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NP-0041 Issued in DC
Practice address
1717 K St NW Ste 900
Washington, DC 20006-5349
Phone
(571) 207-6768
Fax
(202) 831-3132
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0121000439 VA
Naturopath 175F00000X 099-0000244 VT
Naturopath 175F00000X NP-0041 DC Primary

Addresses

Primary practice location

1717 K St NW Ste 900
Washington, DC 20006-5349

Mailing address

1717 K St NW Ste 900
Washington, DC 20006-5349
Phone (571) 207-6768

Other identifiers 1

IdentifierTypeStateIssuer
NP-0041OtherDCNATUROPATHIC PHYSICIAN

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
0121000439VAMDAcupuncturist
NP-0041DCMDNaturopath
099-0000244VTMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1992711717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 K ST NW STE 900",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200065349",
            "telephone_number": "571-207-6768",
            "fax_number": "202-831-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 K ST NW STE 900",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200065349",
            "telephone_number": "571-207-6768",
            "fax_number": "202-831-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASIOLARN",
        "first_name": "TEERAWONG",
        "name_prefix": "Dr.",
        "credential": "N.D., M.S.A., L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000439",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "VT",
            "license": "099-0000244",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "DC",
            "license": "NP-0041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATUROPATHIC PHYSICIAN",
            "identifier": "NP-0041",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.