Jared Lane, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4303 Issued in OK

Practice address

3409 S Broadway Ste 801
Edmond, OK 73013-4129

Phone

(405) 515-9355

NPI assigned

Dec 7, 2020

Last updated

Dec 7, 2020By 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

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

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.

• Awaken Health and Wellness Center

  • Chiropractor
  • Edmond, OK
  • NPI 1093311995
  NPD Authorized official
• Integrated Functional Medicine

  • General Practice Physician
  • Bountiful, UT
  • NPI 1629407697
  Medicare reassignment

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1487250379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 STONEBRIDGE BLVD APT 2232",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134775",
            "telephone_number": "903-724-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 S BROADWAY STE 801",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134129",
            "telephone_number": "405-515-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "JARED",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Alice Landolfi, LPC
• Jenna Landua, M.S. CCC-SLP
• Jessica S Landwehr
• Lane-Hicks Counseling & Art Therapy Ctr PC
• Hallie Marie Lane
• Makenna Faith Lane
• Khoi Thien Lang, P.A.
• Zoe Lang
• Johanna Lange, MS, LPC
• Mawoh Lange

• Chiropractor in Edmond, OK
• Providers in Edmond, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.