Jeffrey Lange, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038007962 Issued in IL

Practice address

810 Market St
Metropolis, IL 62960-1636

Phone

(618) 524-7575

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Priority Integrated Healthcare PCGroup PAC ID 3779948245, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Priority Integrated Healthcare PC

  • Family Medicine Physician
  • Marion, IL
  • NPI 1780345041

  IL

  Medicare reassignment Care Compare group NPD Authorized official
• Glass Chiropractic and Wellness

  • Chiropractor
  • Metropolis, IL
  • NPI 1558591222
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730197708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 MARKET ST",
            "city": "METROPOLIS",
            "state": "IL",
            "postal_code": "629601636",
            "telephone_number": "618-524-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 MARKET ST",
            "city": "METROPOLIS",
            "state": "IL",
            "postal_code": "629601636",
            "telephone_number": "618-524-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "JEFFREY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038007962",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "06422045",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kincaid King Physician Services, P.C.
• Amy Krueger, BS
• Bryan Krueger, PT
• Krypton
• Kyle W Heine DMD PC
• John Larrison, APN, FNP-C
• Eileen Patrice Laurence, M.D.
• Timothy Lawson, RPH
• Timothy Hayes Lawson, PHARMD
• Danielle Lee

• All providers in Metropolis, IL
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.