Proactive Chiropractic and Rehab Center Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3410 Issued in NC

Legal business name

PROACTIVE CHIROPRACTIC AND REHAB CENTER INC.

Practice address

11010 S Tryon St Ste 112
Charlotte, NC 28273-6530

Phone

(704) 504-1770

NPI assigned

Dec 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alec Khlebopros, D.C.NPI 1205811213

Title

Owner

Phone

(704) 504-1770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Alec Khlebopros, D.C.

  • Orthopedic Chiropractor
  • Charlotte, NC
  • NPI 1205811213
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1679757728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11010 S TRYON ST STE 112",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11010 S TRYON ST STE 112",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736530",
            "telephone_number": "704-504-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE CHIROPRACTIC AND REHAB CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "KHLEBOPROS",
        "authorized_official_first_name": "ALEC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-504-1770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Antriwan Privette
• Krista Lee Prizner, PHARMD
• PRN Staffers NC
• Pro Fit Rehab
• Pro Fit Rehab of Charlotte PA
• Proactive Therapy of North Carolina Inc
• Cary Michelle Probst, P.A.-C
• Linda Probst, MAT, LAT, ATC
• Procare Pharmacy, LLC
• Keyonda Proctor

• Chiropractor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.