Pro Ease LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PRO EASE LLC

Practice address

401 Washington St Ste C
Petaluma, CA 94952-2346

Phone

(707) 778-7010

NPI assigned

Oct 14, 2024

Organization subpart

No

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

Authorized official

Name

Bryan Kappe, D.C.NPI 1376147504

Title

Owner

Phone

(415) 798-6654

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Bryan Kappe

  • Chiropractor
  • Petaluma, CA
  • NPI 1376147504
  Medicare reassignment NPD Authorized official
• Latifa Lorena Rainbow, D.C.

  • Chiropractor
  • San Rafael, CA
  • NPI 1174724660
  NPD (past)

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1902626088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WASHINGTON ST STE C",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522346",
            "telephone_number": "707-778-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WASHINGTON ST STE C",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522346",
            "telephone_number": "707-778-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO EASE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "KAPPE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-798-6654",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alia Lauren Prince, LCSW
• Brent Pritt, DPT
• Professional Pharmacies, Inc (Medicine Shoppe Pharmacy 0376)
• Jocelyn Provencio
• Psychotherapy Services by Lisa Stein, LMFT
• Melissa Pumper, PSY.D.
• Kevin Matthew Purring

• Chiropractor in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.