Jay K Lang, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3544 Issued in MN

Practice address

413 S 6TH St
Brainerd, MN 56401

Phone

(218) 828-4418

Fax

(218) 828-4575

NPI assigned

Aug 18, 2006

Last updated

Jun 21, 2011By 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 3

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lang Chiropractic Clinic PAGroup PAC ID 0446205983, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lang Chiropractic Clinic PA

  dba Lakes Chiropractic

  • Chiropractor
  • Brainerd, MN
  • NPI 1861591737
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1457465288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 S 6TH ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "56401",
            "telephone_number": "218-828-4418",
            "fax_number": "218-828-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 S 6TH ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "56401",
            "telephone_number": "218-828-4418",
            "fax_number": "218-828-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "JAY",
        "middle_name": "K",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "778527500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "350041435",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6C186LA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Rae Lake, LICSW
• Lakes Area Consultation Services LLC
• Lakes Area Urology PA
• Lakes Imaging LLC
• Lang Chiropractic Clinic PA (Lakes Chiropractic)
• James Vincent Lange, LADC
• Mary Lange, RD
• Nathan David Laposky, MD
• Amanda K Larson-Redning, APRN, CNP
• Nichole Rae Leblanc, RN

• Chiropractor in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.