Individual provider Active NPI

Erin Margaret Lange, DMD

  • Dentist
  • Grand Ronde, OR
National Provider Identifier
1073709499
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D8954 Issued in OR
Practice address
9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712
Phone
(503) 879-2020
Fax
(503) 879-2414
NPI assigned
Sep 19, 2007
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D8954 OR Primary

Addresses

Primary practice location

9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712

Mailing address

9615 Grand Ronde Rd
Grand Ronde, OR 97347-9712
Phone (503) 879-2020

Other names 1

  • Erin Scheminski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151221001303 OR Order and Referring Only - DentistPractitioner - Dentist 9335440106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D8954ORMDDentist

Interoperability endpoints

  • Direct secure messaging: erin.lange.p1@direct.grandronde.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1073709499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9615 GRAND RONDE RD",
            "city": "GRAND RONDE",
            "state": "OR",
            "postal_code": "973479712",
            "telephone_number": "503-879-2020",
            "fax_number": "503-879-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9605 GRAND RONDE RD",
            "city": "GRAND RONDE",
            "state": "OR",
            "postal_code": "973479712",
            "telephone_number": "503-879-2020",
            "fax_number": "503-879-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "ERIN",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "SCHEMINSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Ronde, OR

Sources for this page

Verify at the official NPI Registry.