Individual provider Active NPI

David B Danielson, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • North Port, FL
National Provider Identifier
1821179755
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO 3256 Issued in FL
Practice address
14580 Tamiami TRL Unit H
North Port, FL 34287-2708
Phone
(941) 429-1702
Fax
(941) 429-0981
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO 3256 FL Primary

Addresses

Primary practice location

14580 Tamiami TRL Unit H
North Port, FL 34287-2708

Mailing address

14580 Tamiami TRL Unit H
North Port, FL 34287-2708
Phone (941) 429-1702

Other practice location 1

2400 S McCall Rd Ste F
Englewood, FL 34224-5136
Phone (941) 474-5577

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061214000369 FL Practitioner - Podiatry 9830120666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Port Podiatry Center PAGroup PAC ID 1052374543, 3 clinicians

Practice addresses (Care Compare)

14580 Tamiami TRL
Unit H
North Port, FL 34287-2708
Phone (941) 429-1702

Hospital & facility affiliations

  • HCA Florida Englewood Hospital Hospital, Englewood, FL, CCN 100267

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue87
Removal of skin lesions47
Removal of nail tissue1120
Removal or shaving of skin growth776
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 3256FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Port Podiatry Center PA Foot & Ankle Surgery CurrentSince Jan 1, 2008 Accepting new patients
North Port Podiatry Center PA Foot & Ankle Surgery PastSince Sep 1, 2008 Accepting new patients
Regional Foot and Ankle Specialists, LLC Foot & Ankle Surgery Past Accepting new patients
Better Health Wellness, LLC PastSince Jan 8, 2019 Accepting new patients

Locations

414 N Brevard Ave
Arcadia, FL 34266
Phone (863) 494-3478

2400 S McCall Rd
Ste F
Englewood, FL 34224
Phone (941) 473-3338

15041 Tamiami Trl
North Port, FL 34287
Phone (941) 429-1702

14580 Tamiami Trl
Unit H
North Port, FL 34287
Phone (941) 429-1702

15081 Tamiami Trl
North Port, FL 34287
Phone (941) 423-5093

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1821179755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14580 TAMIAMI TRL UNIT H",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872708",
            "telephone_number": "941-429-1702",
            "fax_number": "941-429-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14580 TAMIAMI TRL UNIT H",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872708",
            "telephone_number": "941-429-1702",
            "fax_number": "941-429-0981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 S McCall Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "FL",
            "postal_code": "342245136",
            "country_code": "US",
            "telephone_number": "941-474-5577",
            "fax_number": "941-473-4145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELSON",
        "first_name": "DAVID",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 3256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

Verify at the official NPI Registry.