Individual provider Active NPI

Leif R Lange, DC

  • Chiropractor
  • Tarpon Springs, FL
National Provider Identifier
1760670384
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8229 Issued in FL
Practice address
528 S Pinellas Ave
Tarpon Springs, FL 34689-3640
Phone
(727) 934-6500
Fax
(727) 945-8374
NPI assigned
Oct 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8229 FL Primary

Addresses

Primary practice location

528 S Pinellas Ave
Tarpon Springs, FL 34689-3640

Mailing address

528 S Pinellas Ave
Tarpon Springs, FL 34689-3640
Phone (727) 934-6500

Other identifiers 1

IdentifierTypeStateIssuer
89163OtherBLUE CROSS BLUE SHIELD

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
CH8229FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Chiropractic Inc. PastSince Jan 1, 1990 Accepting new patients
Florida Institute of Natural Health Inc Chiropractor Past Accepting new patients
Chiromed Chiropractic Center, Inc Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1760670384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 S PINELLAS AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893640",
            "telephone_number": "727-934-6500",
            "fax_number": "727-945-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 S PINELLAS AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893640",
            "telephone_number": "727-934-6500",
            "fax_number": "727-945-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "LEIF",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "89163",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.