Active NPI
Melody L Stone MD PA
Doing business as Advanced Dermatology & Skin Cancer Center
- 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
- Doing business as
- Advanced Dermatology & Skin Cancer Center
- Practice address
- 1419 Village Dr
Saint Joseph, MO 64506-2459 - Phone
- (816) 364-1507
- Fax
- (816) 364-5711
- NPI assigned
- Dec 1, 2006
- Last updated
- Aug 4, 2026
- 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
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
220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330
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, and the practitioner matching its NPPES authorized official.
-
- Medical Physician Assistant
- Saint Joseph, MO
- NPI 1164430740
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.