Proactive Chiropractic and Wellness PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3408 Issued in MA

Legal business name

PROACTIVE CHIROPRACTIC AND WELLNESS PLLC

Practice address

6605 Pittsford Palmyra Rd
Fairport, NY 14450

Phone

(585) 278-8351

NPI assigned

Nov 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Prosser, D.CNPI 1205173002

Title

Owner

Phone

(585) 278-8351

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

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

• Nicholas C Prosser, D.C

  • Chiropractor
  • Fairport, NY
  • NPI 1205173002
  Medicare reassignment Authorized official
• Jonathan L. Donner, DC PC

  • Chiropractor
  • Fairport, NY
  • NPI 1902871460
  NPD
• Mary Jane Toepfer, LMT

  • Massage Therapist
  • Fairport, NY
  • NPI 1003865528
  NPD (past)
• William Henry Langfield III, D.C.

  • Chiropractor
  • Canton, MA
  • NPI 1558565275
  NPD (past)
• Michael Wayne Rauch, D.C.

  • Chiropractor
  • Jamaica Plain, MA
  • NPI 1407932130
  NPD (past)

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1215334057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 PITTSFORD PALMYRA RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 PITTSFORD PALMYRA RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "14450",
            "telephone_number": "585-278-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE CHIROPRACTIC AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "PROSSER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-278-8351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Lynn Principino, SLP
• Heather Gean Prinsen
• Kelly Pristach, M.S.ED CCC/SLP
• Laurie S Pritchard, OT
• Danielle Harmon Privitera, MD
• Christine E Proctor, RN
• Nicholas C Prosser, D.C
• Erin Marie Provost
• Tracy Pruner
• Dakota Pursel

• Chiropractor in Fairport, NY
• Providers in Fairport, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.