MEDICARE: DR. COREY J. CSAKAI D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	38MC00736700	NJ
2	111N00000X	Chiropractor	B01877	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	38MC00736700	OTHER	NJ	LICENSE NUMBER
2	1770037673	OTHER		NATIONAL PROVIDER IDENTIFIER

General Provider Information

NPI Number	:	1770037673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. COREY J. CSAKAI D.C.

Provider Business Mailing Address
First Line	:	210 E FLAMINGO RD UNIT 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-4797
Country	:	US
Telephone Number	:	908-692-3460
Fax Number	:

Provider Business Practice Location Address
First Line	:	3645 S RAINBOW BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-1057
Country	:	US
Telephone Number	:	732-444-8114
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2016
Last Update Date	:	10/30/2023

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