Organization Active NPI

Missouri Foot and Ankle Clinics, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Blue Springs, MO
National Provider Identifier
1255435897
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000774 Issued in MO
Legal business name
MISSOURI FOOT AND ANKLE CLINICS, P.C.
Practice address
1136 W 40 Hwy
Blue Springs, MO 64015-4610
Phone
(816) 224-8660
Fax
(816) 200-9005
NPI assigned
Sep 12, 2006
Last updated
Jun 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Dr. Daniel Raymond Hanon, DPM
Title
Owner
Phone
(816) 224-8660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 000774 MO Primary

Addresses

Primary practice location

1136 W 40 Hwy
Blue Springs, MO 64015-4610

Mailing address

256 SW Winterpark Cir
Lees Summit, MO 64081-4013
Phone (816) 224-8660

Other identifiers 3

IdentifierTypeStateIssuer
CJ9038OtherRR MCR
4349950001OtherDMERC
506023506MedicaidMO

National Provider Directory

National Provider Directory

Locations

1200 W 40 Hwy
Blue Springs, MO 64015
Phone (816) 224-8660

900 NW Woods Chapel Rd
Blue Springs, MO 64015
Phone (816) 229-3200

2800 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-3474

Practitioners & affiliated clinicians

Practitioners 2

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": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1255435897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 SW WINTERPARK CIR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640814013",
            "telephone_number": "816-224-8660",
            "fax_number": "816-200-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 W 40 HWY",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640154610",
            "telephone_number": "816-224-8660",
            "fax_number": "816-200-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI FOOT AND ANKLE CLINICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "HANON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-224-8660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "000774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "CJ9038",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "4349950001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506023506",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.