IndividualActive
Richard Jackson, D.P.M.
NPI 1407859424 · Podiatrist · Fort Wayne, IN
Richard Jackson, D.P.M. is a Podiatrist provider in Fort Wayne, IN (NPI 1407859424).
Provider details
- NPI number
- 1407859424
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- No
- License
- 07000729A (IN)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 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
7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Phone: (260) 436-8686
Fax: (260) 486-8585
Street-level locationGet directions
Mailing address
Po Box 2526
Fort Wayne, IN 46801-2526
Registry dates
- Enumerated
- 2005-05-23
- Last updated
- 2016-11-07
Frequently asked questions
- What is Richard Jackson's NPI number?
- Richard Jackson's National Provider Identifier (NPI) is 1407859424, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Richard Jackson's specialty?
- Richard Jackson is listed in the NPPES registry with a primary specialty of Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Richard Jackson located?
- Richard Jackson's practice location on file with NPPES is 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133.
- What is Richard Jackson's phone number?
- The practice phone number listed in the NPPES registry for Richard Jackson is (260) 436-8686.
- Is Richard Jackson's NPI active?
- Yes — Richard Jackson's NPI (1407859424) is active in the NPPES registry as of the last update on 2016-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.