Active NPI
Daniel John Short, DPM
- Foot & Ankle Surgery Podiatrist
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0103301180
- Practice address
- 508 Fulton Street
Podiatry Department Area D
Durham, NC 27705 - Phone
- (919) 286-0411
- NPI assigned
- Jun 9, 2012
- Last updated
- Oct 14, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2139 | TX | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 2139 | TX | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103301180 | VA | Primary |
Addresses
Primary practice location
508 Fulton Street
Podiatry Department Area D
Durham, NC 27705
Mailing address
7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Phone (210) 358-7717
Other practice location 1
701 S Zarzamora St
San Antonio, TX 78207-5209
Phone (210) 358-7717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 346598101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2139 | TX | MD | Foot & Ankle Surgery Podiatrist |
| 0103301180 | VA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Podiatrist | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients |
Locations
2101 E Jefferson St
Ste 4EAST
Rockville, MD 20852
2101 E Jefferson St
Ste 6
Rockville, MD 20852
2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
1201 Hospital Dr
Fredericksburg, VA 22401
Phone (540) 368-3700
6551 Loisdale Ct
Springfield, VA 22150
Phone (571) 622-2100
14139 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 257-3000
Organizations & group practices 5
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.
-
dba Kaiser Permanente Loudoun Medical Center
- Health Maintenance Organization
- Lansdowne, VA
- NPI 1861552721
-
dba Kaiser Permanente Annapolis Medical Center
- Health Maintenance Organization
- Annapolis, MD
- NPI 1952461816
DC, Podiatrist
-
dba Ashburn Medical Center
- Health Maintenance Organization
- Ashburn, VA
- NPI 1699893537
-
dba Kaiser Permanente Gaithersburg Medical Center
- Health Maintenance Organization
- Gaithersburg, MD
- NPI 1831471713
-
dba Kaiser Permanente Shady Grove Peritoneal Dialysis Facility
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockville, MD
- NPI 1962108753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1366704066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7703 FLOYD CURL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293901",
"telephone_number": "210-358-7717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 FULTON STREET",
"address_2": "PODIATRY DEPARTMENT AREA D",
"city": "DURHAM",
"state": "NC",
"postal_code": "27705",
"telephone_number": "919-286-0411"
}
],
"practiceLocations": [
{
"address_1": "701 S Zarzamora St",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782075209",
"country_code": "US",
"telephone_number": "210-358-7717",
"fax_number": "210-358-7707",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHORT",
"first_name": "DANIEL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-09",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "2139",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "2139",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "0103301180",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "346598101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.