David Kiyoshi Miyasaki, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2022046599 Issued in MO

Practice address

1084 N Ballas Rd
Des Peres, MO 63131-3706

Phone

(435) 256-7494

NPI assigned

Feb 7, 2011

Last updated

Nov 30, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Three Brothers Chiropractic LLCGroup PAC ID 3173034311, 2 clinicians

Hawk Ridge Family Chiropractic LLCGroup PAC ID 5193910529, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Three Brothers Chiropractic LLC

  dba 100 Percent Chiropractic Des Peres

  • Chiropractor
  • Des Peres, MO
  • NPI 1336955160
  Medicare reassignment Care Compare group NPD
• Hawk Ridge Family Chiropractic LLC

  • Chiropractor
  • Warrenton, MO
  • NPI 1457660060
  Medicare reassignment Care Compare group
• 100 Chiro Des Peres LLC

  • Chiropractor
  • Des Peres, MO
  • NPI 1760235717
  Medicare reassignment NPD
• Chan Healthcare Group PS

  dba Back and Neck Pain Centers

  • Chiropractor
  • Seattle, WA
  • NPI 1528204690
  NPD (past)

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1699071704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 N BALLAS RD",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631313706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 N BALLAS RD",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631313706",
            "telephone_number": "435-256-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYASAKI",
        "first_name": "DAVID",
        "middle_name": "KIYOSHI",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-07",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7872333-1202",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60281895",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2022046599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med Plus Staffing L.L.C. (Med Plus HealthCare L.L.C.)
• Mercy East Community
• Mercy Pharmacy Services LLC (Mercy Pharmacy Des Peres)
• Kevin William Meyer, DC
• Mid-America Spine & Rehab LLC
• Alyssa Moukheiber, RD
• MTS-Des Peres, LLC
• MTS-Des Peres, LLC (Manual Therapy Specialists)
• Brittany A Musholt, CCC/SLP
• NA Niewdach Inc

• Chiropractor in Des Peres, MO
• Providers in Des Peres, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.