Provider Demographics
NPI:1760571178
Name:CIPRIANI, JOHN JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JOSEPH
Last Name:CIPRIANI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:19315 W CATAWBA AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-5637
Mailing Address - Country:US
Mailing Address - Phone:781-507-4228
Mailing Address - Fax:
Practice Address - Street 1:19315 W CATAWBA AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-8650
Practice Address - Country:US
Practice Address - Phone:704-896-1811
Practice Address - Fax:704-896-1812
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2017-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3473111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0850XOtherBCBS PROVIDER #
NC0850XOtherBCBS PROVIDER #