Individual provider Active NPI

Randy David Delaney, D.C.

  • Chiropractor
  • Forney, TX
National Provider Identifier
1316176514
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
156609 Issued in TX
Practice address
628 Rock Brook Dr
Forney, TX 75126-4743
Phone
(417) 549-0665
NPI assigned
Jul 8, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05269 KS
Chiropractor 111N00000X 4129 OK
Chiropractor 111N00000X 156609 TX Primary

Addresses

Primary practice location

628 Rock Brook Dr
Forney, TX 75126-4743

Mailing address

628 Rock Brook Dr
Forney, TX 75126-4743
Phone (417) 549-0665

Other practice location 1

8901 S Santa Fe Ave
Suite A
Oklahoma City, OK 73139-8413
Phone (405) 634-0042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4129OKMDClinical Social Worker
01-05269KSMDChiropractor
156609TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin County Chiropractic PA Chiropractor Past Accepting new patients
Cary Minor Chiropractic, PA Chiropractor PastSince Jun 19, 2006 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1316176514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 ROCK BROOK DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751264743",
            "telephone_number": "417-549-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 ROCK BROOK DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751264743",
            "telephone_number": "417-549-0665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 S Santa Fe Ave",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731398413",
            "country_code": "US",
            "telephone_number": "405-634-0042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELANEY",
        "first_name": "RANDY",
        "middle_name": "DAVID",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05269",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4129",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "156609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.