Active NPI
Kansas City Foot and Ankle PC
- Foot & Ankle Surgery Podiatrist
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 000639
- Legal business name
- KANSAS CITY FOOT AND ANKLE PC
- Practice address
- 1010 Carondelet Dr
Suite 301
Kansas City, MO 64114-4859 - Phone
- (816) 943-1111
- Fax
- (816) 943-1126
- NPI assigned
- Oct 4, 2006
- Last updated
- Apr 24, 2024
- 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
- Dr. Mark A Green, DPM
- Title
- President
- Phone
- (816) 943-1111
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 000639 | MO | Primary |
Addresses
Primary practice location
1010 Carondelet Dr
Suite 301
Kansas City, MO 64114-4859
Mailing address
1010 Carondelet Dr
Suite 301
Kansas City, MO 64114-4859
Phone (816) 943-1111
Other names 1
- Mark A. Green, DPM, PC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
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.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Kansas City Foot and Ankle, PC | Orthoses: Custom Fabricated|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
4400 W 115th St
Leawood, KS 66211
Phone (913) 213-3886
1136 W 40 Hwy
Blue Springs, MO 64015
Phone (816) 224-8660
1004 Carondelet Dr
Kansas City, MO 64114
Phone (816) 941-9030
411 Nichols Rd
Ste 174
Kansas City, MO 64112
Phone (816) 561-7388
9501 N Oak Trfy
Ste 200
Kansas City, MO 64155
Phone (816) 943-1111
Practitioners & affiliated clinicians
Practitioners 18
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.
-
- Foot & Ankle Surgery Podiatrist
- Kansas City, MO
- NPI 1871805325
KS
-
- Foot & Ankle Surgery Podiatrist
- Kansas City, MO
- NPI 1134652977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713916800000",
"number": "1780779470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 CARONDELET DR",
"address_2": "SUITE 301",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641144859",
"telephone_number": "816-943-1111",
"fax_number": "816-943-1126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 CARONDELET DR",
"address_2": "SUITE 301",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641144859",
"telephone_number": "816-943-1111",
"fax_number": "816-943-1126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KANSAS CITY FOOT AND ANKLE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "816-943-1111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MO",
"license": "000639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mark A. Green, DPM, PC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Kansas City, MO
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.