Individual provider Active NPI

Jared James Lasseigne, D.C.

  • Chiropractor
  • Clarkston, MI
National Provider Identifier
1235451006
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010123 Issued in MI
Practice address
7020 Gateway Park Dr
Clarkston, MI 48346-2574
Phone
(248) 212-7435
NPI assigned
Feb 22, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008615 GA
Chiropractor 111N00000X 1663 LA
Chiropractor 111N00000X 2301010123 MI Primary

Addresses

Primary practice location

7020 Gateway Park Dr
Clarkston, MI 48346-2574

Mailing address

6430 Fountain Park CT
Waterford, MI 48327-1796
Phone (248) 396-9713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131019000145 MI Practitioner - Chiropractic 0840472072 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DCG Holdings PLLC Chiropractor CurrentSince Sep 18, 2024 Accepting new patients
Discover Rehabilitation, Inc Chiropractor PastSince Mar 10, 2008 Accepting new patients

Locations

8336 Hilton Rd
Ste 100
Brighton, MI 48114
Phone (810) 225-2288

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1235451006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 FOUNTAIN PARK CT",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271796",
            "telephone_number": "248-396-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 GATEWAY PARK DR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462574",
            "telephone_number": "248-212-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSEIGNE",
        "first_name": "JARED",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-22",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008615",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1663",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.