Individual provider Active NPI

Michael Thomas Seery, DC

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1801966387
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556315 Issued in VA
Practice address
2000 General Booth Blvd
Virginia Beach, VA 23454
Phone
(757) 430-0990
Fax
(757) 430-6860
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556315 VA Primary

Addresses

Primary practice location

2000 General Booth Blvd
Virginia Beach, VA 23454

Mailing address

5389 Bayside Rd
Virginia Beach, VA 23455-3749
Phone (757) 262-9847

Other practice location 1

1421 Kempsville Rd Ste C
Chesapeake, VA 23320-1406
Phone (757) 410-5322

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181105000016 VA Practitioner - Chiropractic 3173876463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1232 Perimeter Pkwy
Suite 101
Virginia Beach, VA 23454-5924
Phone (757) 430-0990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104556315VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Seery Chiropractic LLC Chiropractor CurrentSince Oct 26, 2020 Accepting new patients

Locations

1232 Perimeter Pkwy
Ste 101
Virginia Beach, VA 23454
Phone (757) 425-8590

Organizations & group practices 1

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801966387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5389 BAYSIDE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234553749",
            "telephone_number": "757-262-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GENERAL BOOTH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23454",
            "telephone_number": "757-430-0990",
            "fax_number": "757-430-6860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1421 Kempsville Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233201406",
            "country_code": "US",
            "telephone_number": "757-410-5322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEERY",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.