Proactive Chiropractic Care, PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PROACTIVE CHIROPRACTIC CARE, PLC

Practice address

635 N 9TH St Ste C
Kalamazoo, MI 49009-5897

Phone

(269) 547-0242

NPI assigned

Oct 3, 2018

Last updated

Oct 3, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donald E AngelNPI 1124273636

Title

Owner

Phone

(269) 547-0242

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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, and the practitioner matching its NPPES authorized official.

• Donald E Angel, D.C.

  • Chiropractor
  • Kalamazoo, MI
  • NPI 1124273636
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1932684131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7875 PORT HOPE DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490094107",
            "telephone_number": "269-547-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N 9TH ST STE C",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490095897",
            "telephone_number": "269-547-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE CHIROPRACTIC CARE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "ANGEL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-547-0242"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.