DR. DARYL FREDERICK DDS
NPI 1033548474
Dentist in Jackson, MI

Q: What is Daryl Frederick's NPI number?

The NPI number for Daryl Frederick is 1033548474. It was assigned to this individual provider in the NPPES registry on November 6, 2013.

Q: What is Daryl Frederick's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Daryl Frederick was last updated on November 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 06, 2013PECOS Enrolled

2641 SHIRLEY DR, JACKSON, MI 49201(517) 787-5367(517) 787-4219 Get Directions Write a Review

NPPES record last updated: November 6, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Daryl Frederick Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DARYL FREDERICK DDS (NPI 1033548474) is an individual dentist in Jackson, Michigan, licensed in Michigan (10125) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033548474

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. DARYL FREDERICKCredential: DDS

Location Address2641 SHIRLEY DRJackson, MI 49201-8633

Mailing Address2641 Shirley DrJackson, MI 49201-8633 · (517) 787-5367 · Fax (517) 787-4219

Phone(517) 787-5367

Fax(517) 787-4219

Sole ProprietorYes

Enumeration DateNovember 6, 2013

✔ NPI 1033548474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MI · 10125

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2641 SHIRLEY DR, Jackson, MI 49201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Daryl Frederick Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHIGAN DENTISTS PLLC

Dentist (General Practice)

2641 SHIRLEY DR
JACKSON, MI 49201

Jackson County (517) 787-5367

WILLIAM AUGUSTO BUURMA DDS

Dentist (General Practice)

2641 SHIRLEY DR
JACKSON, MI 49201

Jackson County (941) 840-2092

DARYL W FREDERICK DDS PC

Dentist (General Practice)

2641 SHIRLEY DR
JACKSON, MI 49201

Jackson County (517) 787-5367

DR. FIRAS WAFIQ BELBEISI D.D.S.

Dentist

2641 SHIRLEY DR
JACKSON, MI 49201

Jackson County (517) 787-5367

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daryl Frederick's NPI number?

The NPI number for Daryl Frederick is 1033548474. It was assigned to this individual provider in the NPPES registry on November 6, 2013.

Where is Daryl Frederick located?

Daryl Frederick practices at 2641 Shirley Dr, Jackson, MI 49201. The listed phone number is (517) 787-5367.

What is Daryl Frederick's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Daryl Frederick enrolled in Medicare?

Yes. Daryl Frederick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daryl Frederick was last updated on November 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.