John Coleman Richardson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3934 Issued in OR

Practice address

2251 SE Tualatin Valley Hwy
Hillsboro, OR 97123-7975

Phone

(503) 648-4357

Fax

(503) 648-4358

NPI assigned

Jan 18, 2008

Last updated

Oct 3, 2022By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Corazon Chiropractic Clinic LLCGroup PAC ID 7214294149, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Corazon Chiropractic Clinic, LLC

  dba Corazon Chiropractic Clinic

  • Chiropractor
  • Hillsboro, OR
  • NPI 1437548294
  Medicare reassignment Care Compare group Authorized official
• Corazon Chiropractic Clinic, LLC

  • Chiropractor
  • Hillsboro, OR
  • NPI 1386052652
  NPD Authorized official

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1306022553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 SE TUALATIN VALLEY HWY",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971237975",
            "telephone_number": "503-648-4357",
            "fax_number": "503-648-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 SE TUALATIN VALLEY HWY",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971237975",
            "telephone_number": "503-648-4357",
            "fax_number": "503-648-4358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 NE 102nd Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972204169",
            "country_code": "US",
            "telephone_number": "971-346-3313",
            "fax_number": "503-432-8110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JOHN",
        "middle_name": "COLEMAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-18",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30686",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306022553",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leticia Ribeiro Da Silva Dos Santos, PHD STUDENT
• Jessicalin Brodo Ribellia, EFDA
• Janice Eileen Richards, MSW
• Courtney Richardson
• Joel Richardson
• Sydney Richardson
• Rick Ogletree (Be Heard Counseling)
• Jennifer Rigutto
• Hessam Rikhtehgar Berenji, LD
• Dana Rindlisbacher

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.