Active NPI
Melody L Stone MD PA
- MOHS-Micrographic Surgery Physician
- Saint Joseph, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- Legal business name
- MELODY L STONE MD PA
- Practice address
- 1419 Village Dr
Saint Joseph, MO 64506-2459 - Phone
- (816) 364-1507
- Fax
- (816) 364-5711
- NPI assigned
- Dec 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melody Stone
- Title
- MD/Owner
- Phone
- (816) 364-1507
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | |||
| MOHS-Micrographic Surgery Physician | 207ND0101X | Primary | ||
| Pediatric Dermatology Physician | 207NP0225X | |||
| Procedural Dermatology Physician | 207NS0135X |
Addresses
Primary practice location
1419 Village Dr
Saint Joseph, MO 64506-2459
Mailing address
1419 Village Dr
Saint Joseph, MO 64506-2459
Phone (816) 364-1507
Other practice location 1
514 N 39th St
Bethany, MO 64424-2706
Phone (660) 425-2211
Other names 1
- Advanced Dermatology & Skin Cancer Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS, IA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070618000215 | MO | Part B Supplier - Clinic/Group Practice | 5496854374 |
Receives reassigned benefits from 4 practitioners Practice locations: Maryville, MO; Saint Joseph, MO |
| O20181106000563 | KS | Part B Supplier - Clinic/Group Practice | 5496854374 |
Receives reassigned benefits from 2 practitioners Practice locations: Hiawatha, KS |
| O20190812002940 | IA | Part B Supplier - Clinic/Group Practice | 5496854374 |
Receives reassigned benefits from 2 practitioners Practice locations: Shenandoah, IA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0445040 | Advanced Dermatology & Skin Cancer Center | Compliance | Feb 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
700 Oregon St
Hiawatha, KS 66434
Phone (785) 742-7495
1135 W Kansas St
#152
Liberty, MO 64068
Phone (816) 364-1507
2617 Burris Rd
Maryville, MO 64468
Phone (660) 562-7546
1325 Village Dr
Saint Joseph, MO 64506
Phone (816) 364-1507
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785801600000",
"number": "1740358159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 VILLAGE DR",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062459",
"telephone_number": "816-364-1507",
"fax_number": "816-364-5711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1419 VILLAGE DR",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062459",
"telephone_number": "816-364-1507",
"fax_number": "816-364-5711"
}
],
"practiceLocations": [
{
"address_1": "514 N 39th St",
"address_purpose": "LOCATION",
"city": "Bethany",
"state": "MO",
"postal_code": "644242706",
"country_code": "US",
"telephone_number": "660-425-2211",
"fax_number": "816-364-5711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MELODY L STONE MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A",
"authorized_official_last_name": "STONE",
"authorized_official_first_name": "MELODY",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "816-364-1507"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207NP0225X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology, Pediatric Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Dermatology & Skin Cancer Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Advanced Dermatology & Skin Cancer Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.