JARED LANE DC
NPI 1487250379
Chiropractor in Edmond, OK

Q: What is Jared Lane's NPI number?

The NPI number for Jared Lane is 1487250379. It was assigned to this individual provider in the NPPES registry on December 7, 2020.

Q: What is Jared Lane's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Jared Lane was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 07, 2020

3409 S BROADWAY STE 801, EDMOND, OK 73013(405) 515-9355 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Jared Lane Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JARED LANE DC (NPI 1487250379) is an individual chiropractor in Edmond, Oklahoma, licensed in Oklahoma (4303) and active in the NPI registry since December 2020. He is a graduate of Other (2018).

NPPES Registry Identity

NPI1487250379

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameJARED LANECredential: DC

Location Address3409 S BROADWAY STE 801Edmond, OK 73013-4129

Mailing Address157 Stonebridge Blvd Apt 2232Edmond, OK 73013-4775 · (903) 724-5505

Phone(405) 515-9355

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 7, 2020

NPPES CertifiedDecember 7, 2020

✔ NPI 1487250379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in OK · 4303

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

3409 S BROADWAY STE 801, Edmond, OK 73013

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jared Lane Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406321041

PECOS Enrollment IDI20260410002057

Medicare Billing Reassignment

Medicare enrollment records show Jared Lane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integrated Functional Medicine, LLC

855 mi

Pain Medicine

10376 S JORDAN GTWY
South Jordan, UT 84095

Reassigned Medicare billing, Utah enrollment
21 clinicians in this Medicare group

NPI 1568168102 (801) 816-0332

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHRYN NICOLE EVANS DC

Chiropractor

3409 S BROADWAY STE 801
EDMOND, OK 73013

Oklahoma County (405) 515-9355

AWAKEN HEALTH AND WELLNESS CENTER

Chiropractor

3409 S BROADWAY STE 801
EDMOND, OK 73013

Oklahoma County (405) 515-9355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jared Lane's NPI number?

The NPI number for Jared Lane is 1487250379. It was assigned to this individual provider in the NPPES registry on December 7, 2020.

Where is Jared Lane located?

Jared Lane practices at 3409 S Broadway Ste 801, Edmond, OK 73013. The listed phone number is (405) 515-9355.

What is Jared Lane's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jared Lane enrolled in Medicare?

Yes. Jared Lane is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jared Lane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jared Lane reassigns Medicare benefits to Integrated Functional Medicine, LLC (South Jordan, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jared Lane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jared Lane accept?

Health plans from BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Jared Lane as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jared Lane was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.