Provider Demographics
NPI:1477583276
Name:DIORIO, JAIME STAR (DC)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:STAR
Last Name:DIORIO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7380 W SAHARA AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-2761
Mailing Address - Country:US
Mailing Address - Phone:702-892-9822
Mailing Address - Fax:702-892-0690
Practice Address - Street 1:7380 W SAHARA AVE
Practice Address - Street 2:STE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-2761
Practice Address - Country:US
Practice Address - Phone:702-252-7246
Practice Address - Fax:702-251-9650
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB888111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV105023Medicare PIN