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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RISA MAREE RECORD D.D.S.
NPI 1881667053
Dentist - General Practice in Camp Carroll, APO AP

Active since February 08, 2006Opted out of Medicare · through Dec 31, 2027
618 DENTAL COMPANY (AS), UNIT #15662 BLDG. S137 TEXAS AVENUE, CAMP CARROLL, APO AP 96260(352) 765-7185(352) 765-7188 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Mar 7, 2023, Jul 21, 2022 (3 updates tracked since 2022).

About Dr. Risa Maree Record D.d.s. NPPES

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

DR. RISA MAREE RECORD D.D.S. (NPI 1881667053) is an individual general practice provider in Camp Carroll, APO AP, licensed in Texas (BR9294353) and active in the NPI registry since February 2006. She has opted out of Medicare through December 31, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1881667053
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RISA MAREE RECORDCredential: D.D.S.
Location Address618 DENTAL COMPANY (AS), UNIT #15662 BLDG. S137 TEXAS AVENUECamp Carroll, APO AP 96260-5662
Mailing Address162 County Road 294Gainesville, TX 76240-8436 · (940) 612-2916
Phone(352) 765-7185
Fax(352) 765-7188
Sole ProprietorNo
Enumeration DateFebruary 8, 2006
Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration
✔ NPI 1881667053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · BR9294353
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Other Names 1

Former Name (1)Dr. Risa Maree Poortvliet D.d.s.

Other Identifiers 1

Other196626TX · Agd/tagd Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Risa Maree Record D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 31, 2015 through December 31, 2027.

Opt-Out Effective DateDecember 31, 2015
Opt-Out In Effect ThroughDecember 31, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Risa Record's NPI number?

The NPI number for Risa Record is 1881667053. It was assigned to this individual provider in the NPPES registry on February 8, 2006. The provider is also known as Dr. Risa Maree Poortvliet D.D.S..

Where is Risa Record located?

Risa Record practices at 618 Dental Company (as) Unit #15662 Bldg. S137 Texas Avenue, Camp Carroll, APO AP 96260. The listed phone number is (352) 765-7185.

What is Risa Record's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Risa Record enrolled in Medicare?

No. Risa Record has opted out of Medicare through December 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Risa Record was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.