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DR. RANDOLPH CLAY O'DELL D.C.
NPI 1477644375
Chiropractor in Walled Lake, MI

Active since September 27, 2006Accepts Medicare Assignment
1183 PONTIAC TRAIL, WALLED LAKE, MI 48390(248) 624-6111(248) 624-6129 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Randolph Clay O'dell D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDOLPH CLAY O'DELL D.C. (NPI 1477644375) is an individual chiropractor in Walled Lake, Michigan, licensed in Michigan (2301002842) and active in the NPI registry since September 2006. He is a graduate of Palmer College Chiropractic - Davenport (1976).

NPPES Registry Identity

NPI1477644375
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. RANDOLPH CLAY O'DELLCredential: D.C.
Location Address1183 PONTIAC TRAILWalled Lake, MI 48390
Mailing Address1183 Pontiac TrailWalled Lake, MI 48390 · (248) 624-6111 · Fax (248) 624-6129
Phone(248) 624-6111
Fax(248) 624-6129
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1976
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1477644375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301002842
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1183 PONTIAC TRAIL, Walled Lake, MI 48390
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Other Names 1

Former Name (1)Dr. Randolph C O'dell D.c.

Other Identifiers 4

Other142073MI · Aetna Insurance
Medicare UPINT33365MI
Medicaid1279839MI
Medicare ID-Type Unspecified0F36387MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Randolph Clay O'dell D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799751327
PECOS Enrollment IDI20110113000146

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
302 services27 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

O DELL CHIROPRACTIC CENTER PC
Chiropractor
1183 PONTIAC TRAIL
WALLED LAKE, MI 48390
Oakland County (248) 624-6111
JOSEPH JASON COROSANITE DC
Chiropractor
1183 PONTIAC TRAIL
WALLED LAKE, MI 48390
Oakland County (248) 624-6111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randolph O'dell's NPI number?

The NPI number for Randolph O'dell is 1477644375. It was assigned to this individual provider in the NPPES registry on September 27, 2006. The provider is also known as Dr. Randolph C O'dell D.C..

Where is Randolph O'dell located?

Randolph O'dell practices at 1183 Pontiac Trail, Walled Lake, MI 48390. The listed phone number is (248) 624-6111.

What is Randolph O'dell's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Randolph O'dell enrolled in Medicare?

Yes. Randolph O'dell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Randolph O'dell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Randolph O'dell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randolph O'dell was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.