Active NPI
Leslie Wing Lange, DC
- Chiropractor
- Rochester, NY
National Provider Identifier
1861493645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X005782
- Practice address
- Greater Rochester Chiropractic
30 Allens Creek Rd.
Rochester, NY 14618 - Phone
- (585) 442-3220
- Fax
- (585) 442-1017
- NPI assigned
- Aug 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X005782 | NY | Primary |
Addresses
Primary practice location
Greater Rochester Chiropractic
30 Allens Creek Rd.
Rochester, NY 14618
Mailing address
Greater Rochester Chiropractic
30 Allens Creek Rd.
Rochester, NY 14618
Phone (585) 442-3220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120207000064 | NY | Practitioner - Chiropractic | 8123237526 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X005782 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276646400000",
"number": "1861493645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "GREATER ROCHESTER CHIROPRACTIC",
"address_2": "30 ALLENS CREEK RD.",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14618",
"telephone_number": "585-442-3220",
"fax_number": "585-442-1017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GREATER ROCHESTER CHIROPRACTIC",
"address_2": "30 ALLENS CREEK RD.",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14618",
"telephone_number": "585-442-3220",
"fax_number": "585-442-1017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE",
"first_name": "LESLIE",
"middle_name": "WING",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2010-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X005782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.