Individual provider Active NPI

Deasia Leclair

  • Chiropractor
  • Flint, MI
National Provider Identifier
1750033072
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13876 Issued in FL
Practice address
G4010 W Court St
Flint, MI 48532-3518
Phone
(810) 732-2210
NPI assigned
Jan 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13876 FL Primary

Addresses

Primary practice location

G4010 W Court St
Flint, MI 48532-3518

Mailing address

94 Moonstone CT
Port Orange, FL 32129-3748

Other practice location 1

701 Beville Rd
South Daytona, FL 32119-1823
Phone (386) 313-0053

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240716000796 MI Practitioner - Chiropractic 0941745806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ace Family Chiropractic PLLCGroup PAC ID 7517402472, 2 clinicians

Practice addresses (Care Compare)

G4010 W Court St
Flint, MI 48532-3518
Phone (810) 230-2702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13876FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Family Chiropractic PLLC Chiropractor CurrentSince Jun 1, 2024 Accepting new patients
Dr Bruce D Serven PC Past Accepting new patients

Locations

G4010 W Court St
Flint, MI 48532
Phone (810) 230-2702

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": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1750033072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 MOONSTONE CT",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321293748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G4010 W COURT ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323518",
            "telephone_number": "810-732-2210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Beville Rd",
            "address_purpose": "LOCATION",
            "city": "South Daytona",
            "state": "FL",
            "postal_code": "321191823",
            "country_code": "US",
            "telephone_number": "386-313-0053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LECLAIR",
        "first_name": "DEASIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "13876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.