Djaris Cisneros
Individual provider Active NPI Prosthetic/Orthotic Supplier · Independence, MO
NPI 1932051133 · NPPES record last updated Feb 10, 2026
Key facts
- NPI
- 1932051133
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- License
- 1999134831 (MO)
- Practice address
- 2400 S Lees Summit Rd
Independence, MO 64055-1937 - Phone
- (816) 986-0444
- NPI assigned
- Feb 10, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1999134831 | MO | MD | Prosthetic/Orthotic Supplier |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 1999134831 | MO | Yes |
Addresses
Primary practice location
2400 S Lees Summit Rd
Independence, MO 64055-1937
Mailing address
2400 S Lees Summit Rd
Independence, MO 64055-1937
Phone (816) 986-0444
Other providers in Independence, MO
- Gabrielle Chronister
- Paul Ren Chu
- Julia Chung
- Sarah Cicero
- Amelia Cierpiot
- City of Independence
- CJP Surgical LLC
- Marcia Clapp
- Barbara J Clark
- Breanna Faith Clark
All providers in Independence, MO · Prosthetic/Orthotic Supplier in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.