Healthcare Provider Details

I. General information

NPI: 1548793227
Provider Name (Legal Business Name): ADAM SCIARRINO GROCH DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2017
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6180 BRENT THURMAN WAY STE 160
LAS VEGAS NV
89148-5041
US

IV. Provider business mailing address

6180 BRENT THURMAN WAY STE 160
LAS VEGAS NV
89148-5041
US

V. Phone/Fax

Practice location:
  • Phone: 702-844-7474
  • Fax: 702-844-7474
Mailing address:
  • Phone: 702-844-7474
  • Fax: 702-844-7474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberB02090
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: