Provider Demographics
NPI:1528017837
Name:DIORIO, ADAM C (DC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:C
Last Name:DIORIO
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 1:2901 EL CAMINO AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-4201
Mailing Address - Country:US
Mailing Address - Phone:702-892-9822
Mailing Address - Fax:702-892-0690
Practice Address - Street 1:2901 EL CAMINO AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-4201
Practice Address - Country:US
Practice Address - Phone:702-892-9822
Practice Address - Fax:702-892-0690
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB914111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVU89123Medicare UPIN
NV105024Medicare PIN