Healthcare Provider Details

I. General information

NPI: 1033188065
Provider Name (Legal Business Name): JOHN M SCIORTINO DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2721 X RAY DR
GASTONIA NC
28054-7491
US

IV. Provider business mailing address

200 E 2ND AVE
GASTONIA NC
28052-4358
US

V. Phone/Fax

Practice location:
  • Phone: 704-874-2255
  • Fax: 704-810-7417
Mailing address:
  • Phone: 704-874-1904
  • Fax: 704-874-4614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4657
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: