NPIMap

Organization Active NPI

Corazon Chiropractic Clinic, LLC

  • Chiropractor
  • Hillsboro, OR
National Provider Identifier
1386052652
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3934 Issued in OR
Legal business name
CORAZON CHIROPRACTIC CLINIC, LLC
Practice address
2235 SE Tualatin Valley Hwy
Hillsboro, OR 97123-7975
Phone
(503) 648-4357
Fax
(503) 648-4358
NPI assigned
Jul 30, 2014
Last updated
Jul 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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

Authorized official

Name
Dr. John Coleman Richardson, D.C.NPI 1306022553
Title
Owner/Head Chiropractic Physician
Phone
(503) 648-4357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3934 OR Primary

Addresses

Primary practice location

2235 SE Tualatin Valley Hwy
Hillsboro, OR 97123-7975

Mailing address

2235 SE Tualatin Valley Hwy
Hillsboro, OR 97123-7975
Phone (503) 648-4357

National Provider Directory

National Provider Directory
Tax ID family
Corazon Chiropractic Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2235 SE Tualatin Valley Hwy
Hillsboro, OR 97123
Phone (503) 648-4357

10735 SE Stark St
Ste 100
Portland, OR 97216
Phone (971) 346-3313

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1386052652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 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": "2235 SE TUALATIN VALLEY HWY",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971237975",
            "telephone_number": "503-648-4357",
            "fax_number": "503-648-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAZON CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "COLEMAN",
        "authorized_official_title_or_position": "OWNER/HEAD CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "503-648-4357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.