Kristopher Martin Lane, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60443467 Issued in WA

Practice address

7631 212TH St SW
105B
Edmonds, WA 98026-7565

Phone

(903) 742-1072

Fax

(425) 775-9608

NPI assigned

Apr 18, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Yakima Chiropractic Centres Inc, P.S.

  • Chiropractor
  • Yakima, WA
  • NPI 1508071796
  NPD (past)

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1134549025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7631 212TH ST SW",
            "address_2": "105B",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267565",
            "telephone_number": "903-742-1072",
            "fax_number": "425-775-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7631 212TH ST SW",
            "address_2": "105B",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267565",
            "telephone_number": "903-742-1072",
            "fax_number": "425-775-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "KRISTOPHER",
        "middle_name": "MARTIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60443467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0325925",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Lamphere, MS, CN
• Rodrigo Landeros, PA-C
• Elizabeth E Landrum, PH.D.
• Sarah Landrum
• Cailee Landsbury
• Madeleine Hope Laney
• Melissa Marie Lange, ND
• Kaia Lanphere
• Tracey A Larsen, M.A.
• Malorie Ann Larson, DPT

• Chiropractor in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.