Kevin L. Long, DC, DACRB, FMS, CSCS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC006842-L Issued in PA

Practice address

3141 Columbia Ave
Lancaster, PA 17603-4012

Phone

(717) 394-6558

Fax

(717) 394-6813

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1114022100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 COLUMBIA AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176034012",
            "telephone_number": "717-394-6558",
            "fax_number": "717-394-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 COLUMBIA AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176034012",
            "telephone_number": "717-394-6558",
            "fax_number": "717-394-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "KEVIN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DC, DACRB, FMS, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006842-L",
            "primary": true
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "PA",
            "license": "DC006842-L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PROVIDER NUMBER",
            "identifier": "LO445351",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew C Long, DDS MSD
• Brook R Long
• Gale M Long, M.AC.
• Heather Long, MSN, RN, NPD-BC
• Joy L Long, M.D.
• Lauren R Long, DPT
• Ross Eugene Long Jr., DMD, MS, PHD
• Stephanie Long, PSYD
• Tiffany Long
• Tobias Charles Long, M.D.

• Chiropractor in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.