Jordan Richardson, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD-001115 Issued in AZ

Practice address

15810 S 45TH St Ste 190
Phoenix, AZ 85048-7697

Phone

(480) 378-0485

NPI assigned

Mar 29, 2021

Reactivated

May 3, 2021

Last updated

Jul 25, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Western Un of HLTH Sciences, Col of Podiatric Med, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kelvin S Crezee DPM PCGroup PAC ID 3577552967, 3 clinicians

Traction Podiatry GroupGroup PAC ID 3577914639, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Kelvin S Crezee DPM PC

  dba Ahwatukee Ankle Foot and Leg Center

  • Foot & Ankle Surgery Podiatrist
  • Phoenix, AZ
  • NPI 1689793895
  Medicare reassignment Care Compare group NPD
• Traction Podiatry Group

  • Sports Medicine Podiatrist
  • Gilbert, AZ
  • NPI 1780385005
  Medicare reassignment Care Compare group NPD
• Queen Creek Foot & Ankle, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Gilbert, AZ
  • NPI 1497644959
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Community Care

  dba Chandler Regional Medical Center

  • General Acute Care Hospital
  • Chandler, AZ
  • NPI 1700910189
  Care Compare affiliation

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1467039925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17326 E BROOKS FARM RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852988805",
            "telephone_number": "480-707-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15810 S 45TH ST STE 190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487697",
            "telephone_number": "480-378-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "deactivation_date": "2021-03-29",
        "reactivation_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "POD-001115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Ann Richardson, RD
• Dorian Lorrae Richardson, ND
• Elise Faye Richardson, DPT
• Gregory Willett Richardson
• Hailey B Richardson
• Keighley Faye Richardson, PA-C, ATC
• Keri Lynn Richardson, PA-C
• Kitty Lee Richardson
• Landon C Richardson, DNP
• Leesha Nicole Richardson, AGNP-C

• Foot & Ankle Surgery Podiatrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Foot & Ankle Surgery Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.