Individual provider Active NPI

Richard Harold Crokin, DC

  • Chiropractor
  • Tigard, OR
National Provider Identifier
1487797635
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
273186 Issued in OR
Practice address
12395 SW 68TH Ave
Tigard, OR 97223-8508
Phone
(503) 431-2388
Fax
(503) 431-6733
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 273186 OR Primary

Addresses

Primary practice location

12395 SW 68TH Ave
Tigard, OR 97223-8508

Mailing address

12395 SW 68TH Ave Ste a
Tigard, OR 97223-8508
Phone (503) 248-0102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
273186ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Abrams Chiropractic Clinic Chiropractor PastSince Sep 16, 2004 Accepting new patients
Bewell Chiropractic, LLC Chiropractor Past Accepting new patients
Live Well Health, PC Past Accepting new patients
Foxclinic of the Chipropractic Arts, P.C. Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1487797635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12395 SW 68TH AVE STE A",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238508",
            "telephone_number": "503-248-0102",
            "fax_number": "503-431-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12395 SW 68TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238508",
            "telephone_number": "503-431-2388",
            "fax_number": "503-431-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROKIN",
        "first_name": "RICHARD",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.