Organization Active NPI

Julio Cardona Jr., P.C.

  • Chiropractor
  • Beaverton, OR
National Provider Identifier
1376711903
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
713673 Issued in OR
Legal business name
JULIO CARDONA JR., P.C.
Doing business as
Cardona Chiropractic
Practice address
14335 SW Allen Blvd
Suite 102
Beaverton, OR 97005-4463
Phone
(503) 352-0265
Fax
(503) 601-0543
NPI assigned
Feb 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

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

Authorized official

Name
Dr. Julio Cesar Cardona Jr., D.C.
Title
President
Phone
(760) 716-5373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 713673 OR Primary

Addresses

Primary practice location

14335 SW Allen Blvd
Suite 102
Beaverton, OR 97005-4463

Mailing address

14335 SW Allen Blvd
Suite 102
Beaverton, OR 97005-4463
Phone (503) 352-0265

Other names 1

  • Cardona Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

14335 SW Allen Blvd
Ste 102
Beaverton, OR 97005
Phone (503) 352-0265

NPI Registry JSON

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1376711903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14335 SW ALLEN BLVD",
            "address_2": "SUITE 102",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054463",
            "telephone_number": "503-352-0265",
            "fax_number": "503-601-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14335 SW ALLEN BLVD",
            "address_2": "SUITE 102",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054463",
            "telephone_number": "503-352-0265",
            "fax_number": "503-601-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIO CARDONA JR., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "CARDONA",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "CESAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-716-5373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "713673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardona Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.