Healthcare Provider Details

I. General information

NPI: 1831001973
Provider Name (Legal Business Name): DORIAN ALBERTO ACHAVAL DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 S JONES BLVD
LAS VEGAS NV
89107-2657
US

IV. Provider business mailing address

7119 S DURANGO DR UNIT 106
LAS VEGAS NV
89113-2058
US

V. Phone/Fax

Practice location:
  • Phone: 702-235-3620
  • Fax:
Mailing address:
  • Phone: 702-235-3620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberB02174
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: