Dedrick Daniels, DPM
NPI 1730402975 · Foot & Ankle Surgery Podiatrist · Jacksonville, FL
Enrolled with Medicare as Practitioner - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dedrick Daniels, DPM is a Foot & Ankle Surgery Podiatrist provider in Jacksonville, FL (NPI 1730402975).
Provider details
- NPI number
- 1730402975
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- No
- License
- PO3691 (FL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 5460 Blanding BlvdJacksonville, FL 32244-1957Phone: (904) 760-4904Fax: (904) 779-5263
- 2251 W Elm StWrightsville, GA 31096-2017Phone: (478) 864-2600Fax: (478) 864-1288
Registry dates
- Enumerated
- 2010-03-02
- Last updated
- 2026-04-27
- Certified
- 2026-04-27
Frequently asked questions
- What is Dedrick Daniels's NPI number?
- Dedrick Daniels's National Provider Identifier (NPI) is 1730402975, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dedrick Daniels's specialty?
- Dedrick Daniels is listed in the NPPES registry with a primary specialty of Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Dedrick Daniels located?
- Dedrick Daniels's practice location on file with NPPES is 120 King St, Jacksonville, FL 32204-2410.
- What is Dedrick Daniels's phone number?
- The practice phone number listed in the NPPES registry for Dedrick Daniels is (904) 760-4904.
- Does Dedrick Daniels accept Medicare?
- Dedrick Daniels is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dedrick Daniels's NPI active?
- Yes — Dedrick Daniels's NPI (1730402975) is active in the NPPES registry as of the last update on 2026-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.