Individual provider Active NPI

Brett Lange, D.C.

  • Chiropractor
  • Surprise, AZ
National Provider Identifier
1689053209
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8426 Issued in AZ
Practice address
13757 W Bell Rd
Suite 101
Surprise, AZ 85374-2452
Phone
(623) 214-7600
Fax
(623) 214-7662
NPI assigned
May 28, 2015
Last updated
May 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8426 AZ Primary

Addresses

Primary practice location

13757 W Bell Rd
Suite 101
Surprise, AZ 85374-2452

Mailing address

13757 W Bell Rd
Suite 101
Surprise, AZ 85374-2452
Phone (623) 214-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150929000246 AZ Practitioner - Chiropractic 8426366246 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5870 W Thunderbird Rd
Suite A7
Glendale, AZ 85306-4657
Phone (602) 730-2665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mind & Body - Clinical & Chiropractic Chiropractor CurrentSince Apr 1, 2024 Accepting new patients
Sheitelman Medical PLC CurrentSince Aug 5, 2015 Accepting new patients
Sheitelman Medical Glendale Chiropractor CurrentSince Apr 26, 2021 Accepting new patients
Sheitelman Chiropractic Inc Chiropractor Past Accepting new patients

Locations

5128 W Peoria Ave
Glendale, AZ 85302
Phone (623) 214-7600

5870 W Thunderbird Rd
Ste A7
Glendale, AZ 85306
Phone (602) 730-2665

13757 W Bell Rd
Ste 101
Surprise, AZ 85374
Phone (623) 214-7600

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1689053209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13757 W BELL RD",
            "address_2": "SUITE 101",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742452",
            "telephone_number": "623-214-7600",
            "fax_number": "623-214-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13757 W BELL RD",
            "address_2": "SUITE 101",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742452",
            "telephone_number": "623-214-7600",
            "fax_number": "623-214-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "BRETT",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.