Individual provider Active NPI

Kimberly Lange, DC CCSP

  • Sports Physician Chiropractor
  • Northampton, MA
National Provider Identifier
1649202854
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2720 Issued in MA
Practice address
300 Pleasant St Ste 2
Northampton, MA 01060-3917
Phone
(413) 582-9889
Fax
(413) 582-9886
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 2720 MA Primary

Addresses

Primary practice location

300 Pleasant St Ste 2
Northampton, MA 01060-3917

Mailing address

300 Pleasant St Ste 2
Northampton, MA 01060-3917
Phone (413) 582-9889

Other practice location 1

40 School St Ste 5
Greenfield, MA 01301-2436
Phone (413) 774-7501

Other practice location 2

141 Damon Rd
Suite I
Northhampton, MA 01060
Phone (413) 582-9889

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2720MAMDPhysical Therapist
4709SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lange Chiropractic Sports Physician PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649202854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PLEASANT ST STE 2",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603917",
            "telephone_number": "413-582-9889",
            "fax_number": "413-582-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PLEASANT ST STE 2",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603917",
            "telephone_number": "413-582-9889",
            "fax_number": "413-582-9886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 School St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "MA",
            "postal_code": "013012436",
            "country_code": "US",
            "telephone_number": "413-774-7501",
            "fax_number": "413-773-8191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Damon Rd",
            "address_2": "Suite I",
            "address_purpose": "LOCATION",
            "city": "Northhampton",
            "state": "MA",
            "postal_code": "01060",
            "country_code": "US",
            "telephone_number": "413-582-9889",
            "fax_number": "413-582-9886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGE",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "DC CCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MA",
            "license": "2720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.