Randall Paul Stange, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

04789 Issued in IA

Practice address

721 8TH St SE
Orange City, IA 51041-7451

Phone

(712) 737-6824

Fax

(712) 737-6426

NPI assigned

Jul 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heimensen Family Chiropractic Ctr

  • Chiropractor
  • Orange City, IA
  • NPI 1093806937
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194748137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 8TH ST SE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510417451",
            "telephone_number": "712-737-6824",
            "fax_number": "712-737-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 8TH ST SE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510417451",
            "telephone_number": "712-737-6824",
            "fax_number": "712-737-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANGE",
        "first_name": "RANDALL",
        "middle_name": "PAUL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2183491",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS",
            "identifier": "4671",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Simkins, ARNP
• Emily Bryna Smith
• Lisa J. Smith, LMSW
• Heather M Spaan, LMSW
• Sprout Pediatric Therapy Services
• Malia Steffl
• Neenah Stinson
• Kallie Annmarie Stromenger, PA-S
• Krayton Struve, DDS
• Jacqueline Tapper

• Chiropractor in Orange City, IA
• Providers in Orange City, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.