Provider Demographics
NPI:1538265194
Name:NAGAI, DUSTIN MILES (DC)
Entity type:Individual
Prefix:DR
First Name:DUSTIN
Middle Name:MILES
Last Name:NAGAI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27980 DORRIS DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93923-8509
Mailing Address - Country:US
Mailing Address - Phone:831-624-7678
Mailing Address - Fax:
Practice Address - Street 1:1299 PACIFIC ST
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-6144
Practice Address - Country:US
Practice Address - Phone:831-657-0191
Practice Address - Fax:831-657-0109
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-30019111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor