Organization Active NPI

Lawson V Sealey Chiropractic Professional Corporation

Doing business as OC Healthy Spine

  • Chiropractor
  • Newport Beach, CA
National Provider Identifier
1376926105
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31008 Issued in CA
Legal business name
LAWSON V SEALEY CHIROPRACTIC PROFESSIONAL CORPORATION
Doing business as
OC Healthy Spine
Practice address
20151 SW Birch St
Suite 200
Newport Beach, CA 92660-1793
Phone
(949) 929-2657
Fax
(949) 851-5901
NPI assigned
Jun 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Authorized official

Name
Dr. Lawson V Sealey, DCNPI 1093950024
Title
Owner
Phone
(949) 929-2657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 31008 CA Primary

Addresses

Primary practice location

20151 SW Birch St
Suite 200
Newport Beach, CA 92660-1793

Mailing address

3010 Park Newport
Apt #202
Newport Beach, CA 92660-5855
Phone (949) 929-2657

Other names 1

  • OC Healthy Spine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150723008404 CA Part B Supplier - Clinic/Group Practice 6406169143 Receives reassigned benefits from 1 practitioner
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

1201 Dove St
Ste 480
Newport Beach, CA 92660
Phone (949) 929-2657

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1376926105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 PARK NEWPORT",
            "address_2": "APT #202",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605855",
            "telephone_number": "949-929-2657",
            "fax_number": "949-851-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20151 SW BIRCH ST",
            "address_2": "SUITE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601793",
            "telephone_number": "949-929-2657",
            "fax_number": "949-851-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWSON V SEALEY CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "SEALEY",
        "authorized_official_first_name": "LAWSON",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-929-2657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OC Healthy Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.