Kelly Marie Lange, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3497 Issued in OR

Practice address

108 E Hersey St
# 2
Ashland, OR 97520-1363

Phone

(541) 482-3492

Fax

(541) 482-4203

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

Yes

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 OR

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Caressa Gullikson, DC LLC

  • Chiropractor
  • Ashland, OR
  • NPI 1003487232
  NPD (past)
• Orion Group Inc

  • Chiropractor
  • Ashland, OR
  • NPI 1477899896
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505347200000",
    "number": "1366463804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 CHERRY LN",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201502",
            "telephone_number": "541-301-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E HERSEY ST",
            "address_2": "# 2",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201363",
            "telephone_number": "541-482-3492",
            "fax_number": "541-482-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2017-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233002",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• La Clinica del Valle Family Healthcare Center Inc.
• Lisa Anne Labounty, LMT
• Sierra N Lafond
• Jennifer Lamere-Negles
• Eric Lang, MS, ATC, PTA
• Cadie Amber Langer, LCSW
• Kieonii Paiea Lansdown
• Larkspur Counseling LLC
• Matthew Larson
• Jo A. Larue, RN

• Chiropractor in Ashland, OR
• Providers in Ashland, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.