Individual provider Active NPI

Lesa Marie Seales, D.C.

  • Chiropractor
  • Grand Haven, MI
National Provider Identifier
1417997131
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007057 Issued in MI
Practice address
849 Park Ave
Grand Haven, MI 49417-2112
Phone
(616) 847-2727
Fax
(616) 847-0098
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301007057 MI Primary

Addresses

Primary practice location

849 Park Ave
Grand Haven, MI 49417-2112

Mailing address

849 Park Ave
Grand Haven, MI 49417-2112
Phone (616) 847-2727

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060712000188 MI Practitioner - Chiropractic 7618980707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

849 Park Ave
Suite 200
Grand Haven, MI 49417-2181
Phone (616) 847-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301007057MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Movement Chiropractic Center, PLLC Chiropractor CurrentSince Nov 9, 2025 Accepting new patients
Absolute Health Chiropractic Clinic Chiropractor CurrentSince Jun 1, 2006 Accepting new patients

Locations

849 Park Ave
Ste 200
Grand Haven, MI 49417
Phone (616) 402-5994

601 S Beacon Blvd
Ste 107
Grand Haven, MI 49417
Phone (616) 847-2727

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1417997131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 PARK AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172112",
            "telephone_number": "616-847-2727",
            "fax_number": "616-847-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 PARK AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172112",
            "telephone_number": "616-847-2727",
            "fax_number": "616-847-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEALES",
        "first_name": "LESA",
        "middle_name": "MARIE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.