Daryl Frederick, DDS
NPI 1033548474 · Dentist · Jackson, MI
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Daryl Frederick, DDS is a Dentist provider in Jackson, MI (NPI 1033548474).
Provider details
- NPI number
- 1033548474
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10125 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-11-06
- Last updated
- 2013-11-06
Frequently asked questions
- What is Daryl Frederick's NPI number?
- Daryl Frederick's National Provider Identifier (NPI) is 1033548474, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Daryl Frederick's specialty?
- Daryl Frederick is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Daryl Frederick located?
- Daryl Frederick's practice location on file with NPPES is 2641 Shirley Dr, Jackson, MI 49201-8633.
- What is Daryl Frederick's phone number?
- The practice phone number listed in the NPPES registry for Daryl Frederick is (517) 787-5367.
- Does Daryl Frederick accept Medicare?
- Daryl Frederick is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Daryl Frederick's NPI active?
- Yes — Daryl Frederick's NPI (1033548474) is active in the NPPES registry as of the last update on 2013-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.