Active NPI
Charles Long, D.C.
- Chiropractor
- Wichita, KS
National Provider Identifier
1316975949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- KS01-04041
- Practice address
- 2243 S Meridian Ave
Suite 101
Wichita, KS 67213-1911 - Phone
- (316) 945-2525
- Fax
- (316) 945-5694
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | KS01-04041 | KS | Primary |
Addresses
Primary practice location
2243 S Meridian Ave
Suite 101
Wichita, KS 67213-1911
Mailing address
2243 S Meridian Ave
Suite 101
Wichita, KS 67213-1911
Phone (316) 945-2525
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2024 | Other | KS | PHS |
| 062112 | Other | KS | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KS01-04041 | KS | MD | Chiropractor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379376000000",
"number": "1316975949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2243 S MERIDIAN AVE",
"address_2": "SUITE 101",
"city": "WICHITA",
"state": "KS",
"postal_code": "672131911",
"telephone_number": "316-945-2525",
"fax_number": "316-945-5694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2243 S MERIDIAN AVE",
"address_2": "SUITE 101",
"city": "WICHITA",
"state": "KS",
"postal_code": "672131911",
"telephone_number": "316-945-2525",
"fax_number": "316-945-5694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2013-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "KS01-04041",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS",
"identifier": "2024",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "062112",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.