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JARED LANE DC
NPI 1487250379
Chiropractor in Edmond, OK

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: August 09, 2026.

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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

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.

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.