Individual provider Active NPI

Kurt Lang, DC

  • Chiropractor
  • Grand Rapids, MI
National Provider Identifier
1730626466
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010511 Issued in MI
Practice address
1971 E Beltline Ave NE
Suite 126
Grand Rapids, MI 49525-7045
Phone
(616) 855-2017
Fax
(616) 828-1904
NPI assigned
Jan 19, 2017
Last updated
Jan 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010511 MI Primary

Addresses

Primary practice location

1971 E Beltline Ave NE
Suite 126
Grand Rapids, MI 49525-7045

Mailing address

1971 E Beltline Ave NE
Suite 126
Grand Rapids, MI 49525-7045
Phone (616) 855-2017

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170202001458 MI Practitioner - Chiropractic 9537442314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1971 E Beltline Ave NE
Suite 126
Grand Rapids, MI 49525-7058
Phone (616) 855-2017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vibrant Life Chiropractic LLC Chiropractor CurrentSince Jan 23, 2017 Accepting new patients

Locations

1971 E Beltline Ave NE
Ste 126
Grand Rapids, MI 49525
Phone (616) 855-2017

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, 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": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1730626466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 E BELTLINE AVE NE",
            "address_2": "SUITE 126",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257045",
            "telephone_number": "616-855-2017",
            "fax_number": "616-828-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 E BELTLINE AVE NE",
            "address_2": "SUITE 126",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257045",
            "telephone_number": "616-855-2017",
            "fax_number": "616-828-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "KURT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.