Individual provider Active NPI

Daniel Douglas Kiddy, DPM

  • Podiatrist
  • Scottsdale, AZ
National Provider Identifier
1144214529
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD-000879 Issued in AZ
Practice address
PO Box 755
Scottsdale, AZ 85252-0755
Phone
(833) 242-0100
NPI assigned
Aug 31, 2005
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD-000879 AZ Primary

Addresses

Primary practice location

PO Box 755
Scottsdale, AZ 85252-0755

Mailing address

PO Box 755
Scottsdale, AZ 85252-0755
Phone (833) 242-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180628002708 AZ Practitioner - Podiatry 2567414030 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gaia Virtual Medicine LLCGroup PAC ID 0648632802, 5 clinicians

Practice addresses (Care Compare)

2680 S Val Vista Dr
BLDG 9 RM 13 Suite 146
Gilbert, AZ 85295-2152
Phone (623) 888-6266

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15
Removal of nail tissue966
Removal or shaving of skin growth270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Active Vital Care LLC CurrentSince Aug 12, 2024 Accepting new patients
Desert Run Multispecialty PLC Podiatrist CurrentSince May 21, 2025 Accepting new patients
Angels Valley Community Healthcare Center PLLC CurrentSince Aug 17, 2022 Accepting new patients
Gaia Virtual Medicine. LLC CurrentSince Sep 11, 2023 Accepting new patients
Agave Adult Medical Care LLC CurrentSince Aug 1, 2025 Accepting new patients
Eulano Foot and Ankle PC CurrentSince May 21, 2025 Accepting new patients
Staroaks Behavioral Home Past Accepting new patients
DDK, LC Podiatrist PastSince Nov 1, 1997 Accepting new patients
Outreach Specialty Physicians LLC Podiatrist PastSince Mar 9, 2005 Accepting new patients

Locations

2680 S Val Vista Dr
Ste 146
Gilbert, AZ 85295
Phone (480) 454-7680

4494 W Peoria Ave
Ste 115A
Glendale, AZ 85302
Phone (480) 876-4013

6739 W Cactus Rd
Peoria, AZ 85381
Phone (623) 240-1110

1310 N 24th St
Ste 120
Phoenix, AZ 85008
Phone (623) 850-5608

14820 N Cave Creek Rd
Ste 2
Phoenix, AZ 85032
Phone (202) 455-0013

1928 E Highland Ave
Ste F104
Phoenix, AZ 85016
Phone (602) 898-6977

19636 N 27th Ave
Ste 207
Phoenix, AZ 85027
Phone (623) 580-7240

2375 E Camelback Rd
Ste 600
Phoenix, AZ 85016
Phone (602) 341-5248

3101 E Shea Blvd
Ste 220
Phoenix, AZ 85028
Phone (602) 279-4975

4350 N 19th Ave
Ste 3
Phoenix, AZ 85015
Phone (602) 279-4975

9817 N 95th St
Ste 115
Scottsdale, AZ 85258
Phone (480) 629-5501

70 Bell Rock Plz
Ste C
Sedona, AZ 86351
Phone (315) 717-7898

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25335/brand/1/csg/1/fhir/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1144214529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 755",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852520755",
            "telephone_number": "833-242-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 755",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852520755",
            "telephone_number": "833-242-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDDY",
        "first_name": "DANIEL",
        "middle_name": "DOUGLAS",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "POD-000879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.