Organization Active NPI

Proactive Care Chiropractic

  • Health Service Clinic/Center
  • Vancouver, WA
National Provider Identifier
1366616922
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
CH00034699 Issued in WA
Legal business name
PROACTIVE CARE CHIROPRACTIC
Practice address
808 SE Chkalov Dr.
Suite 1
Vancouver, WA 86383
Phone
(360) 254-0616
Fax
(360) 254-0618
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Authorized official

Name
Dr. Jeffrey Ryan Seale, DC
Title
Chiropractor/Owner
Phone
(360) 254-0616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X CH00034699 WA Primary

Addresses

Primary practice location

808 SE Chkalov Dr.
Suite 1
Vancouver, WA 86383

Mailing address

808 SE Chkalov Dr.
Suite 1
Vancouver, WA 98683
Phone (360) 254-0616

National Provider Directory

National Provider Directory

Locations

808 SE Chkalov Dr
Ste 1
Vancouver, WA 98683
Phone (360) 254-0616

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1366616922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 SE CHKALOV DR.",
            "address_2": "SUITE 1",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98683",
            "telephone_number": "360-254-0616",
            "fax_number": "360-254-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 SE CHKALOV DR.",
            "address_2": "SUITE 1",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "86383",
            "telephone_number": "360-254-0616",
            "fax_number": "360-254-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE CARE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "SEALE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "360-254-0616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "CH00034699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.