Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Richard T Jackson, DPM

Individual provider Podiatrist · NPI 1407859424

Richard T Jackson, DPM is a Podiatrist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Phone: (260) 436-8686
Fax: (260) 486-8585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 07000729A (IN)

Record details

NPI number1407859424
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 23, 2005
Last updated in NPPESNovember 7, 2016
Mailing addressPo Box 2526, Fort Wayne, IN 46801-2526

Other providers in Fort Wayne