Dustin Tsuyoshi Nukaya, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-2235 Issued in ID

Practice address

1122 Eastland Dr N Ste 2
Twin Falls, ID 83301-8444

Phone

(208) 734-9531

NPI assigned

Aug 15, 2024

Last updated

Aug 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Lakes Chiropractic, PAGroup PAC ID 7911992334, 2 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.

• Blue Lakes Chiropractic, PA

  • Chiropractor
  • Twin Falls, ID
  • NPI 1679508170
  Medicare reassignment Care Compare group NPD
• Blue Lakes Medicine PA

  • Family Nurse Practitioner
  • Twin Falls, ID
  • NPI 1063872489
  NPD

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1902638208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 BLUERIDGE DR",
            "city": "KIMBERLY",
            "state": "ID",
            "postal_code": "833411830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 EASTLAND DR N STE 2",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018444",
            "telephone_number": "208-734-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUKAYA",
        "first_name": "DUSTIN",
        "middle_name": "TSUYOSHI",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-2235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Bec-Corp
• Northwest Bel-Corp (Aspen Grove Hospice)
• Northwest Gastroenterology, PLLC
• Nphalanx Home Care LLC
• Nphalanx LLC (NPHALANX Home Health)
• Minta Marie Nutt
• Dawn Marie Nutting, CADC, CRCS
• Lori Ann O'Dell, RPH
• Briana O'Donnell, FNP-C
• Kristin Elizabeth O'Donnell, LMSW

• Chiropractor in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.