Individual provider Active NPI

Robynn Michelle Poortvliet, DC

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1225094915
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3446 Issued in OK
Practice address
1024 NW 47TH St Ste D
Oklahoma City, OK 73118-6400
Phone
(405) 822-4476
Fax
(405) 286-9374
NPI assigned
Apr 22, 2006
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8112 TX
Chiropractor 111N00000X 3446 OK Primary
Acupuncturist 171100000X 3446 OK

Addresses

Primary practice location

1024 NW 47TH St Ste D
Oklahoma City, OK 73118-6400

Mailing address

PO Box 21824
Oklahoma City, OK 73156-1824
Phone (405) 740-1169

Other names 1

  • Mrs. Robynn Michelle Roggenbuck Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060427000196 OK Practitioner - Chiropractic 0941210587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13316 S Western Ave
Suite J/K
Oklahoma City, OK 73170-7309
Phone (405) 634-0042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3446OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Relief Chiropractic Chiropractor Current Accepting new patients
Family Chiropractic P C Chiropractor CurrentSince Sep 24, 2002 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

13316 S Western Ave
Ste Jk
Oklahoma City, OK 73170
Phone (405) 548-5693

8901 S Santa Fe Ave
Ste A
Oklahoma City, OK 73139
Phone (405) 634-0042

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1225094915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21824",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731561824",
            "telephone_number": "405-740-1169",
            "fax_number": "405-286-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 NW 47TH ST STE D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731186400",
            "telephone_number": "405-822-4476",
            "fax_number": "405-286-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POORTVLIET",
        "first_name": "ROBYNN",
        "middle_name": "MICHELLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-22",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8112",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3446",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OK",
            "license": "3446",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBYNN",
            "last_name": "ROGGENBUCK",
            "middle_name": "MICHELLE",
            "prefix": "MRS.",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.