NPIMap

Organization Active NPI

Proactive Enterprises LLC

Doing business as ProActive Chiropractic

  • Clinic/Center
  • Ardmore, OK
National Provider Identifier
1508187501
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3975 Issued in OK
Legal business name
PROACTIVE ENTERPRISES LLC
Doing business as
ProActive Chiropractic
Practice address
615 N Commerce St
Suite E
Ardmore, OK 73401-3942
Phone
(580) 222-6777
NPI assigned
Jun 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Authorized official

Name
Dr. Lee M Grant, D.C.NPI 1386963312
Title
Sole Member
Phone
(580) 222-6777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 3975 OK Primary

Addresses

Primary practice location

615 N Commerce St
Suite E
Ardmore, OK 73401-3942

Mailing address

615 N Commerce St
Suite E
Ardmore, OK 73401-3942
Phone (580) 222-6777

Other names 1

  • ProActive Chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1508187501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N COMMERCE ST",
            "address_2": "SUITE E",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734013942",
            "telephone_number": "580-222-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N COMMERCE ST",
            "address_2": "SUITE E",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734013942",
            "telephone_number": "580-222-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "580-222-6777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "3975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProActive Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.