NPIMap

Organization Active NPI

Proactive Wellness Center LLC

  • Chiropractor
  • Farmington Hills, MI
National Provider Identifier
1861895211
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AA005766 Issued in MI
Legal business name
PROACTIVE WELLNESS CENTER LLC
Practice address
25882 Orchard Lake Rd
Suite 105
Farmington Hills, MI 48336-1292
Phone
(248) 957-9525
NPI assigned
Sep 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
Dr. Anthony P Arena, D.C.
Title
Co-Owner
Phone
(248) 957-9525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X AA005766 MI Primary

Addresses

Primary practice location

25882 Orchard Lake Rd
Suite 105
Farmington Hills, MI 48336-1292

Mailing address

25712 Springbrook Dr
Farmington Hills, MI 48336-1372
Phone (248) 957-9525

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1861895211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25712 SPRINGBROOK DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361372",
            "telephone_number": "248-957-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25882 ORCHARD LAKE RD",
            "address_2": "SUITE 105",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361292",
            "telephone_number": "248-957-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "ARENA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "248-957-9525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "AA005766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.