NPIMap

Organization Active NPI

Ankle and Foot Centers of Missouri P.C.

  • Clinical Medical Laboratory
  • Glandstone, MO
National Provider Identifier
1033871827
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ANKLE AND FOOT CENTERS OF MISSOURI P.C.
Practice address
407 NE 76TH Ter
Glandstone, MO 64118-1708
Phone
(816) 436-7900
Fax
(816) 436-0999
NPI assigned
Oct 8, 2021
Last updated
Oct 8, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ANKLE AND FOOT CENTERS OF MISSOURI P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Authorized official

Name
Akilis Mike TheoharidisNPI 1912933474
Title
Owner
Phone
(816) 436-7900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

407 NE 76TH Ter
Glandstone, MO 64118-1708

Mailing address

407 NE 76TH Ter
Glandstone, MO 64118-1708
Phone (816) 436-7900

National Provider Directory

National Provider Directory
Tax ID family
Ankle and Foot Centers PC2 organizations share this tax ID, including this one
Part of
Ankle and Foot Centers PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1033871827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 NE 76TH TER",
            "city": "GLANDSTONE",
            "state": "MO",
            "postal_code": "641181708",
            "telephone_number": "816-436-7900",
            "fax_number": "816-436-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 NE 76TH TER",
            "city": "GLANDSTONE",
            "state": "MO",
            "postal_code": "641181708",
            "telephone_number": "816-436-7900",
            "fax_number": "816-436-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKLE AND FOOT CENTERS OF MISSOURI P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANKLE AND FOOT CENTERS OF MISSOURI P.C.",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "THEOHARIDIS",
        "authorized_official_first_name": "AKILIS",
        "authorized_official_middle_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-436-7900"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.