Active NPI
Debra Elizabeth Mardis, D.P.M.
- Podiatrist
- Kansas City, MO
National Provider Identifier
1992927735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 41000210A
- Practice address
- 8422 N Arcola Ave
Kansas City, MO 64153-2871 - Phone
- (816) 582-1157
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 41000210A | IN | Primary |
Addresses
Primary practice location
8422 N Arcola Ave
Kansas City, MO 64153-2871
Mailing address
8422 N Arcola Ave
Kansas City, MO 64153-2871
Phone (816) 582-1157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41000210A | IN | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1992927735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8422 N ARCOLA AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641532871",
"telephone_number": "816-582-1157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8422 N ARCOLA AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641532871",
"telephone_number": "816-582-1157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARDIS",
"first_name": "DEBRA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "41000210A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.