John Kenneth Ford, DPM

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

PO00000753 Issued in WA

Practice address

3407 E M St
Tacoma, WA 98404-3931

Phone

(206) 275-9705

Fax

(425) 484-6425

NPI assigned

Aug 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493510400000",
    "number": "1104819465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111556",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984111556",
            "telephone_number": "253-686-8840",
            "fax_number": "253-572-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 E M ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984043931",
            "telephone_number": "206-275-9705",
            "fax_number": "425-484-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "JOHN",
        "middle_name": "KENNETH",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2017-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "WA",
            "license": "PO00000753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1118249",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0177187",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Bridget Forbus, MD
• Karen J Forchione
• Amanda Rajean Ford, RN
• Christopher Noel Ford, MPT
• Connor Francis Ford, DO
• Nicole Ford, LMHC
• Rachel Nicole Forte Ford, MSW
• Shera Ford
• Terrie M Ford, MS ARNP
• Amira Fordham Erickson, MA, MED, LMFTA

• Legal Medicine in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Legal Medicine in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.