Paulie D Heisel, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6123 Issued in OR

Practice address

3939 NE Hancock St # 303
Portland, OR 97212-5321

Phone

(971) 599-3512

Fax

(844) 888-1211

NPI assigned

Dec 27, 2020

Last updated

Nov 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, AZ2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inclusive Wellness and Chiropractic LLCGroup PAC ID 2365817350, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Inclusive Wellness and Chiropractic LLC

  • Chiropractor
  • Portland, OR
  • NPI 1497414643

  AZ

  Medicare reassignment Care Compare group NPD Authorized official
• Village Physical Therapy, LLC

  • Physical Medicine & Rehabilitation Physician
  • Portland, OR
  • NPI 1639638489
  NPD (past)

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

{
    "created_epoch": "1609027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1740877687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 NE 66TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134565",
            "telephone_number": "971-599-3512",
            "fax_number": "844-888-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 NE HANCOCK ST # 303",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125321",
            "telephone_number": "971-599-3512",
            "fax_number": "844-888-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISEL",
        "first_name": "PAULIE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-27",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "9221",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Thomas Heinz, LCSW
• Julia Amolia Heinze, D.O.
• Amy Suzanne Heinzel, PHARMD
• Claire Heinzerling
• Carl Heisel, R.PH, BCPS
• John Michael Heiser, M.D.
• Kelerie Heiser
• Megan Susanne Heisey, CPNP-AC
• Grace Heisler, R.N.
• River J Heisler

• Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.