Lakeshore Integrative Health Center PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LAKESHORE INTEGRATIVE HEALTH CENTER PLLC

Practice address

19084 N Fruitport Rd
Spring Lake, MI 49456-1163

Phone

(616) 846-5410

NPI assigned

Mar 27, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Daniel J Weessies, DCNPI 1932470929

Title

President

Phone

(616) 647-7647

Specialties & licenses 1

Addresses

Other names 2

• Gleason Chiropractic Clinic Doing business as
• The Gleason Center Doing business as

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.

• Daniel J Weessies, D.C.

  • Chiropractor
  • Jenison, MI
  • NPI 1932470929
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1083318075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19084 N FRUITPORT RD",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494561163",
            "telephone_number": "616-846-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19084 N FRUITPORT RD",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494561163",
            "telephone_number": "616-846-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE INTEGRATIVE HEALTH CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "WEESSIES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-647-7647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gleason Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Gleason Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kylee M Kowalski, DLLP
• Kristine Koetje Ma, PC
• Kristine Koetje Ma, PC
• Kristine Koetje, Ma LP
• Lake Shore Pulmonology, PLC
• Terry Lanigan, LMSW, CFT
• Tonia Joy Lans, LPC
• Gretchen Lawrence, LPC
• Devon Lawrey, MA, CCC-SLP
• Joseph Michele Lepidi, PT, DPT

• Chiropractor in Spring Lake, MI
• Providers in Spring Lake, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.