Active NPI
Daniel Douglas Kiddy, DPM
- Podiatrist
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- POD-000879
- Practice address
- PO Box 755
Scottsdale, AZ 85252-0755 - Phone
- (833) 242-0100
- NPI assigned
- Aug 31, 2005
- Last updated
- Jun 13, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 15 |
| Removal of nail tissue | 966 |
| Removal or shaving of skin growth | 270 |
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.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Vital Care LLC | Current | Accepting new patients | |
| Desert Run Multispecialty PLC | Podiatrist | Current | Accepting new patients |
| Angels Valley Community Healthcare Center PLLC | Current | Accepting new patients | |
| Gaia Virtual Medicine. LLC | Current | Accepting new patients | |
| Agave Adult Medical Care LLC | Current | Accepting new patients | |
| Eulano Foot and Ankle PC | Current | Accepting new patients | |
| Staroaks Behavioral Home | Past | Accepting new patients | |
| DDK, LC | Podiatrist | Past | Accepting new patients |
| Outreach Specialty Physicians LLC | Podiatrist | Past | 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
- 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.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1326825092
-
- Adult Medicine Physician
- Sedona, AZ
- NPI 1861153579
-
- Physician Assistant
- Phoenix, AZ
- NPI 1689303117
-
- Interventional Cardiology Physician
- Phoenix, AZ
- NPI 1386795771
Podiatrist
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1730800475
-
- Podiatrist
- O'Fallon, MO
- NPI 1871755314
-
- Podiatrist
- O'Fallon, MO
- NPI 1952476186
-
dba Eulano Foot and Ankle PC - Phoenix
- Non-Pharmacy Dispensing Site
- Phoenix, AZ
- NPI 1902555022
-
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1710438460
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.