Organization Active NPI

Proactivebcs LLC

  • Chiropractor
  • College Station, TX
National Provider Identifier
1558814004
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PROACTIVEBCS LLC
Practice address
900 Harvey Rd
College Station, TX 77840-3523
Phone
(979) 412-2089
NPI assigned
Aug 2, 2016
Last updated
Aug 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Authorized official

Name
Jason Allen, DCNPI 1174987846
Title
President
Phone
(979) 412-2089

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

900 Harvey Rd
College Station, TX 77840-3523

Mailing address

900 Harvey Rd
College Station, TX 77840-3523

National Provider Directory

National Provider Directory

Locations

900 Harvey Rd
College Station, TX 77840
Phone (979) 412-2089

900 Harvey Rd
Ste 9B
College Station, TX 77840
Phone (979) 704-3064

Practitioners & affiliated clinicians

Practitioners 2

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": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1558814004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HARVEY RD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778403523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HARVEY RD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778403523",
            "telephone_number": "979-412-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVEBCS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-412-2089",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.