Proactive Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

03617 Issued in MD

Legal business name

PROACTIVE CHIROPRACTIC LLC

Practice address

1201 Seven Locks Rd
Suite 212
Rockville, MD 20854-2931

Phone

(301) 217-0515

Fax

(301) 217-0585

NPI assigned

Jun 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Joseph A Pollack, D.C.

Title

Ceo

Phone

(301) 217-0515

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1609196658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SEVEN LOCKS RD",
            "address_2": "SUITE 212",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208542931",
            "telephone_number": "301-217-0515",
            "fax_number": "301-217-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SEVEN LOCKS RD",
            "address_2": "SUITE 212",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208542931",
            "telephone_number": "301-217-0515",
            "fax_number": "301-217-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "POLLACK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-217-0515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Privia Medical Group, LLC (Neurology, Headache & Pain Institute)
• Privia Medical Group, LLC
• Privia Medical Group, LLC
• Privia Medical Group, LLC
• Privia Medical Group, LLC (Regenerative Orthopedics and Sports Medicine, LLC)
• Proactive Hand and Physical Therapy
• Proactive Health and Wellness, LLC (Vitality Chiropractic)
• Allison Duggan Proano, MS, OTR/L
• Diego Fernado Proano, DC
• Reganne Proctor-Bowens

• Chiropractor in Rockville, MD
• Providers in Rockville, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.