NPIMap

Organization Active NPI

Richard H. Crokin, DC PC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1497984884
Registry record updated Aug 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3186 Issued in OR
Legal business name
RICHARD H. CROKIN, DC PC
Practice address
4445 SW Barbur Blvd
#104
Portland, OR 97239-4047
Phone
(503) 226-4500
Fax
(503) 226-0796
NPI assigned
Jul 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2009

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

Authorized official

Name
Dr. Richard Harold Crokin, DC
Title
President
Phone
(503) 226-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3186 OR Primary

Addresses

Primary practice location

4445 SW Barbur Blvd
#104
Portland, OR 97239-4047

Mailing address

4445 SW Barbur Blvd
#104
Portland, OR 97239-4047
Phone (503) 226-4500

Other names 1

  • American Integrated Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

4445 S Barbur Blvd
Ste 104
Portland, OR 97239
Phone (503) 226-4500

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1497984884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 SW BARBUR BLVD",
            "address_2": "#104",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394047",
            "telephone_number": "503-226-4500",
            "fax_number": "503-226-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 SW BARBUR BLVD",
            "address_2": "#104",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394047",
            "telephone_number": "503-226-4500",
            "fax_number": "503-226-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD H. CROKIN, DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "CROKIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-226-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Integrated Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.