Proactive Health, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002095A Issued in IN

Legal business name

PROACTIVE HEALTH, INC

Practice address

1635 N Ironwood Dr
South Bend, IN 46635-1891

Phone

(574) 271-1771

Fax

(574) 271-8014

NPI assigned

Nov 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard Douglas Patterson, D.C.

Title

V. President

Phone

(574) 271-1771

Specialties & licenses 1

Addresses

Other names 1

• ProActive Health Other name

Locations

Practitioners 2

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

• Michael Dean Hummer, DC

  • Chiropractor
  • Mishawaka, IN
  • NPI 1700519949
  NPD
• Ryan Kain, D.C.

  • Chiropractor
  • Plummer, ID
  • NPI 1629166988
  NPD (past)

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1710168620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 N IRONWOOD DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351891",
            "telephone_number": "574-271-1771",
            "fax_number": "574-271-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 N IRONWOOD DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351891",
            "telephone_number": "574-271-1771",
            "fax_number": "574-271-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "V. PRESIDENT",
        "authorized_official_telephone_number": "574-271-1771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002095A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProActive Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Primary Care Partners of South Bend
• Prime Life Care LLC
• Brianna Primrose, NP
• Jennifer Clare Prins, M.D.
• Sarah Ellen Pritt, MS
• Kristen Prock, MSW
• Professional Vision Inc
• Professional Vision Inc
• Elizabeth D. Progar, PA-C
• Dominic Prospero

• Chiropractor in South Bend, IN
• Providers in South Bend, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.