Active NPI
Chad Michael Lange, MA, AT, CSCS
- Athletic Trainer
- Saginaw, MI
National Provider Identifier
1639456775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2601000711
- Practice address
- 1629 N Washington Ave
Saginaw, MI 48601-1211 - Phone
- (989) 757-1872
- NPI assigned
- Nov 3, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2601000711 | MI | Primary |
Addresses
Primary practice location
1629 N Washington Ave
Saginaw, MI 48601-1211
Mailing address
865 W Broadway Rd
Mount Pleasant, MI 48858-9086
Phone (989) 854-4924
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2601000711 | MI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481760000000",
"number": "1639456775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 W BROADWAY RD",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488589086",
"telephone_number": "989-854-4924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1629 N WASHINGTON AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486011211",
"telephone_number": "989-757-1872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE",
"first_name": "CHAD",
"middle_name": "MICHAEL",
"credential": "MA, AT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-03",
"last_updated": "2016-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": "2601000711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.