John Egdorf, DPM
John Egdorf, DPM is a provider specialising in Student in an Organized Health Care Education/Training Program in Portland, OR, registered under NPI 1013640648.
Getting there
The practice address on file is 1015 NW 22ND AVE, Portland, OR 97210. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| PG216238 | OR | Student in an Organized Health Care… primary |
This provider holds licence PG216238 issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Order And Referring Only - Podiatry
- PAC ID
- 4486013695
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Podiatry. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Student in an Organized Health Care Education/Training Program covers
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. NUCC Health Care Provider Taxonomy, code 390200000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1013640648 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 1, 2022 |
| Last updated | Jun 24, 2023 |
| Status | Deactivated |
| Sole proprietor | No |
| Credential | DPM |
| Practice address |
1015 NW 22ND AVE Portland, OR 97210 (503) 413-8401 Fax (503) 413-7361 |
| Mailing address |
3200 GRAND AVE Des Moines, IA 50312 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 1 | 3 | 6 | 4 | 0 | 6 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 2 | 3 | 3 | 4 | 0 | 6 | 8 |
Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.