Diego Fernado Proano, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S03611 Issued in MD

Practice address

6101 Executive Blvd Ste 380
Rockville, MD 20852-3952

Phone

(301) 231-0050

Fax

(301) 231-6056

NPI assigned

Feb 22, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Proactive Health and Wellness, LLC

  dba Vitality Chiropractic

  • Chiropractor
  • Rockville, MD
  • NPI 1730748302

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1710209408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 EXECUTIVE BLVD STE 380",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523952",
            "telephone_number": "240-426-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 EXECUTIVE BLVD STE 380",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523952",
            "telephone_number": "301-231-0050",
            "fax_number": "301-231-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROANO",
        "first_name": "DIEGO",
        "middle_name": "FERNADO",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-22",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Privia Medical Group, LLC (Regenerative Orthopedics and Sports Medicine, LLC)
• Proactive Chiropractic LLC
• Proactive Hand and Physical Therapy
• Proactive Health and Wellness, LLC (Vitality Chiropractic)
• Allison Duggan Proano, MS, OTR/L
• Reganne Proctor-Bowens
• Amyra Proctor
• Aspen Proctor
• Georgia Proctor
• Kyrsten Proctor

• 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 Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.