Provider Demographics
NPI:1265615975
Name:ADAM C. DIORIO, D.C.
Entity type:Organization
Organization Name:ADAM C. DIORIO, D.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:DIORIO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:702-892-9822
Mailing Address - Street 1:2959 INDUSTRIAL RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-1141
Mailing Address - Country:US
Mailing Address - Phone:702-892-9822
Mailing Address - Fax:702-892-0690
Practice Address - Street 1:2959 INDUSTRIAL RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-1141
Practice Address - Country:US
Practice Address - Phone:702-892-9822
Practice Address - Fax:702-892-0690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB-914111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
U89123Medicare UPIN
38572Medicare PIN