DR. JORDAN RICHARDSON DPM
NPI 1467039925
Student in an Organized Health Care Education/Training Program in Murray, UT

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
5169 S COTTONWOOD ST STE 303, MURRAY, UT 84107(800) 548-6672 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 25, 2024, May 3, 2021 (2 updates tracked since 2021).

About Dr. Jordan Richardson Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JORDAN RICHARDSON DPM (NPI 1467039925) is an individual student in an organized health care education/training program in Murray, Utah and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Western Un Of Hlth Sciences, Col Of Podiatric Med (2021).

NPPES Registry Identity

NPI1467039925
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JORDAN RICHARDSONCredential: DPM
Location Address5169 S COTTONWOOD ST STE 303Murray, UT 84107-6768
Mailing Address17326 E Brooks Farm RdGilbert, AZ 85298-8805 · (480) 707-2393
Sole ProprietorNo
Medical School CMSWestern Un Of Hlth Sciences, Col Of Podiatric MedGraduated 2021
Enumeration DateMarch 29, 2021
Last NPPES UpdateMay 3, 20212 updates tracked since enumeration
NPPES CertifiedMay 3, 2021
NPI 1467039925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5169 S COTTONWOOD ST STE 303, Murray, UT 84107

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jordan Richardson Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789120403
PECOS Enrollment IDI20240718001124
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
5169 S COTTONWOOD ST STE 303
MURRAY, UT 84107
Student in an Organized Health Care Education/Training Program
5169 S COTTONWOOD ST STE 303
MURRAY, UT 84107
Student in an Organized Health Care Education/Training Program
5169 S COTTONWOOD ST STE 303
MURRAY, UT 84107
Student in an Organized Health Care Education/Training Program
5169 S COTTONWOOD ST STE 303
MURRAY, UT 84107
Student in an Organized Health Care Education/Training Program
5169 S COTTONWOOD ST STE 303
MURRAY, UT 84107
Podiatrist (Foot & Ankle Surgery)
5169 S COTTONWOOD ST STE 303
MURRAY, UT 84107
Radiology (Diagnostic Radiology)
5169 S COTTONWOOD ST STE 303
MURRAY, UT 84107
Student in an Organized Health Care Education/Training Program
5169 S COTTONWOOD ST STE 303
MURRAY, UT 84107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467039925, enumerated as an "individual" on March 29, 2021.

The provider is located at 5169 S COTTONWOOD ST STE 303 MURRAY, UT 84107 and the phone number is (800) 548-6672.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.