Individual provider Active NPI

Douglas Miyasato, DC

  • Chiropractor
  • North Las Vegas, NV
National Provider Identifier
1689462624
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B02125 Issued in NV
Practice address
2290 McDaniel St Ste 2a
North Las Vegas, NV 89030-6330
Phone
(702) 873-2307
Fax
(702) 873-2480
NPI assigned
Apr 29, 2025
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B02125 NV Primary

Addresses

Primary practice location

2290 McDaniel St Ste 2a
North Las Vegas, NV 89030-6330

Mailing address

2362 N Green Valley Pkwy Apt 356M
Henderson, NV 89014-3182
Phone (808) 651-8335

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
B02125NVMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1689462624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2362 N GREEN VALLEY PKWY APT 356M",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890143182",
            "telephone_number": "808-651-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 MCDANIEL ST STE 2A",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306330",
            "telephone_number": "702-873-2307",
            "fax_number": "702-873-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYASATO",
        "first_name": "DOUGLAS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B02125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.