Proactive Healthcare Education Center

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

PROACTIVE HEALTHCARE EDUCATION CENTER

Doing business as

Proactive Dental Clinic Corp

Practice address

334 E Lake St Ste 105
Minneapolis, MN 55408-2485

Phone

(310) 883-8932

NPI assigned

Jul 15, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Solaman Shire

Title

Owner

Phone

(310) 883-8932

Specialties & licenses 1

Addresses

Other names 1

• Proactive Dental Clinic Corp Doing business as

Tax ID family

Proactive Dental Clinic Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Proactive Healthcare Education Center

  • Public Health Dentistry
  • Minneapolis, MN
  • NPI 1528805553
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Solaman Shire Adani Sr.

  • Driver
  • Minneapolis, MN
  • NPI 1447616032
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1003654104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 E LAKE ST STE 105",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 E LAKE ST STE 105",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082485",
            "telephone_number": "310-883-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE HEALTHCARE EDUCATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "SHIRE",
        "authorized_official_first_name": "SOLAMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-883-8932"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proactive Dental Clinic Corp",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Proactive Dental Clinic Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marc R Pritzker, M.D.
• Cynthia Privitera
• Privratsky Chiropractic PC
• Robert Neil Privratsky Jr., DC
• Pro Home Health Care
• Proactive Healthcare Education Center
• Patrick James Prochaska, D.D.S.
• Nicole Prochnow, PTA
• Kristin Noel Procopio, MPT
• Shorhonda Proctor

• Public Health Dentistry in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Public Health Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.