Ankle and Foot Centers of Missouri P.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

ANKLE AND FOOT CENTERS OF MISSOURI P.C.

Practice address

407 NE 76TH Ter
Gladstone, MO 64118-1708

Phone

(816) 436-7900

Fax

(816) 436-0999

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Akilis Mike Theoharidis, DPMNPI 1912933474

Title

President

Phone

(816) 436-7900

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MO, KS3 enrollments

Enrollment records 3

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Ankle and Foot Centers of Missouri P.C.

  • Clinical Medical Laboratory
  • Glandstone, MO
  • NPI 1033871827
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Akilis Mike Theoharidis, D.P.M

  • Foot Surgery Podiatrist
  • Gladstone, MO
  • NPI 1912933474

  KS

  Medicare reassignment Care Compare group NPD Authorized official
• Tanner Coleman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Gladstone, MO
  • NPI 1780156687

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Elijah Lorenzo Davis, D.P.M

  • Foot Surgery Podiatrist
  • St. Joseph, MO
  • NPI 1265545966

  KS

  Medicare reassignment Care Compare group NPD
• Dimitrios M Theoharidis, DC

  • Chiropractor
  • Liberty, MO
  • NPI 1982797262
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1790714491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 NE 76TH TER",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641181708",
            "telephone_number": "816-436-7900",
            "fax_number": "816-436-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 NE 76TH TER",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641181708",
            "telephone_number": "816-436-7900",
            "fax_number": "816-436-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKLE AND FOOT CENTERS OF MISSOURI P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "THEOHARIDIS",
        "authorized_official_first_name": "AKILIS",
        "authorized_official_middle_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-436-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505265009",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365265016",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD AHN",
            "identifier": "CB6768",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "CB6767",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365265008",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505265017",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Alpha Anderson, D.O.
• Lydia Housley Anderson
• Maureen F Anderson, ARNP
• Nicole Anderson, D.P.T.
• Stuart P Anderson, O.D.
• Stephanie Henthorn Aponte, LPCC
• Douglas Wayne Arjes, DDS
• David Ash, M.D.
• Athletico LTD
• B. Ronald Rommel, DDS, PC

• Foot & Ankle Surgery Podiatrist in Gladstone, MO
• Providers in Gladstone, MO by specialty
• Foot & Ankle Surgery Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.