Active NPI
Lange Chiropractic Centers, S.C.
- Chiropractor
- Superior, WI
National Provider Identifier
1326108176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2592-012
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38852700 | Medicaid | WI |
Other names 1
- Lange-Laughlin Chiropractic Center
National Provider Directory
National Provider DirectoryLocations
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.