Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Carl W Lange IV, PA
Physician Assistant in Houston, MO · enumerated 2014.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1700200458
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Registry record
Entity type Individual (Type 1)
Name Mr. Carl W Lange IV
Credential PA
Sex Male
Practice address 1337 S Sam Houston Blvd, Houston, MO, 65483
Phone (417) 967-5435
Fax (417) 967-5503
Enumeration date Feb 14, 2014
Last updated in NPPES Feb 14, 2014
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 2014004500 (MO) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700200458 | Medicaid | MO | - |
| 26D0889777 | Other | MO | CLIA |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Carl Lange?
Carl Lange is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-02-14.