Organization Active NPI

Melody L Stone MD PA

  • MOHS-Micrographic Surgery Physician
  • Saint Joseph, MO
National Provider Identifier
1740358159
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
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

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Melody StoneNPI 1558337196
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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X
MOHS-Micrographic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0101X Primary
Pediatric Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207NP0225X
Procedural Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, IA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0445040Advanced Dermatology & Skin Cancer Center1419 Village Drive, Saint Joseph, MO 64506ComplianceFeb 8, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.