Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jordan Richardson, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1467039925

Dr. Jordan Richardson, DPM is a Podiatry in Phoenix, Arizona. Graduated from Western Un of Hlth Sciences, Col of Podiatric Med in 2021, 5 years ago. Practices with Kelvin S Crezee DPM PC, a 3-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Trained at
Western Un of Hlth Sciences, Col of Podiatric Med
Licensed in
AZ
In the registry since
2021
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

15810 S 45th St Ste 190
Phoenix, AZ 85048-7697
Phone: (480) 378-0485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence POD-001115 (AZ)

Record details

NPI number1467039925
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolWESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduated 2021 (5 years in practice)
Group practice Kelvin S Crezee Dpm Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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