Active NPI
Edward J Daly, DPM
- Podiatrist
- Lecanto, FL
National Provider Identifier
1245204452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO0001932
- Practice address
- 2385 N Lecanto Hwy
Lecanto, FL 34461 - Phone
- (352) 746-0077
- Fax
- (352) 746-1704
- NPI assigned
- Feb 14, 2006
- Last updated
- Mar 19, 2014
- 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 | PO0001932 | FL | Primary |
Addresses
Primary practice location
2385 N Lecanto Hwy
Lecanto, FL 34461
Mailing address
PO Box 1120
Lecanto, FL 34460
Phone (352) 746-0077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 029749600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110418000409 | FL | Practitioner - Podiatry | 9335262831 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO0001932 | FL | MD | Podiatrist |
Organizations & group practices 1
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.
-
- Podiatrist
- Lecanto, FL
- NPI 1588634968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1245204452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1120",
"city": "LECANTO",
"state": "FL",
"postal_code": "34460",
"telephone_number": "352-746-0077",
"fax_number": "352-746-1704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2385 N LECANTO HWY",
"city": "LECANTO",
"state": "FL",
"postal_code": "34461",
"telephone_number": "352-746-0077",
"fax_number": "352-746-1704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALY",
"first_name": "EDWARD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO0001932",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "029749600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lecanto, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.