Individual provider Active NPI

Randee Marisa Poortvliet

  • Chiropractor
  • Denton, TX
National Provider Identifier
1770691891
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7880 Issued in TX
Practice address
405 W Oak St
Denton, TX 76201-9039
Phone
(940) 484-8894
Fax
(940) 484-1389
NPI assigned
Aug 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7880 TX Primary

Addresses

Primary practice location

405 W Oak St
Denton, TX 76201-9039

Mailing address

405 W Oak St
Denton, TX 76201-9039
Phone (940) 484-8894

Other names 1

  • Dr. Randee Marisa Ward Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040929000075 TX Practitioner - Chiropractic 0749259729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Healthcare and WellnessGroup PAC ID 7810434453, 3 clinicians

Practice addresses (Care Compare)

1501 N Elm St
Denton, TX 76201-3021
Phone (940) 387-0019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7880TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Holistic Health PLLC Chiropractor CurrentSince Aug 26, 2023 Accepting new patients
Allied Healthcare & Wellness CurrentSince Apr 5, 2025 Accepting new patients
Pain Relief Management PC Chiropractor CurrentSince Sep 29, 2000 Accepting new patients
Denton Texas Health Management, PLLC Current Accepting new patients
Bell Advanced Relief Chiropractic, Inc. Chiropractor PastSince Aug 29, 2010 Accepting new patients

Locations

1501 N Elm St
Denton, TX 76201
Phone (940) 387-0019

405 W Oak St
Denton, TX 76201
Phone (940) 484-8894

1244 William D Tate Ave
Grapevine, TX 76051
Phone (817) 251-9828

Organizations & group practices 5

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770691891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W OAK ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762019039",
            "telephone_number": "940-484-8894",
            "fax_number": "940-484-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W OAK ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762019039",
            "telephone_number": "940-484-8894",
            "fax_number": "940-484-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POORTVLIET",
        "first_name": "RANDEE",
        "middle_name": "MARISA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDEE",
            "last_name": "WARD",
            "middle_name": "MARISA",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.