Organization Active NPI

Lange Chiropractic Centers, S.C.

  • Chiropractor
  • Superior, WI
National Provider Identifier
1326108176
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2592-012 Issued in WI
Legal business name
LANGE CHIROPRACTIC CENTERS, S.C.
Doing business as
Lange-Laughlin Chiropractic Center
Practice address
1810 N 16TH St
Superior, WI 54880-2550
Phone
(715) 394-5645
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dane Eric Laughlin, D.C.
Title
President of Corporation
Phone
(715) 394-5645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2592-012 WI Primary

Addresses

Primary practice location

1810 N 16TH St
Superior, WI 54880-2550

Mailing address

1810 N 16TH St
Superior, WI 54880-2550

Other identifiers 1

IdentifierTypeStateIssuer
38852700MedicaidWI

Other names 1

  • Lange-Laughlin Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

1810 N 16th St
Ste 1
Superior, WI 54880
Phone (715) 394-5645

1810 N 16th St
Superior, WI 54880
Phone (715) 394-5645

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326108176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 N 16TH ST",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548802550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 N 16TH ST",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548802550",
            "telephone_number": "715-394-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANGE CHIROPRACTIC CENTERS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAUGHLIN",
        "authorized_official_first_name": "DANE",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "715-394-5645",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2592-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38852700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lange-Laughlin Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Superior, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.