Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Alan Green, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1073550604

Dr. Mark Alan Green, DPM is a Podiatry in Kansas City, Missouri. Graduated from Kent State University College of Podiatric Medicine in 1990, 36 years ago. Practices with Kansas City Foot and Ankle PC, an 8-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
36
Trained at
Kent State University College of Podiatric Medicine
Licensed in
KS, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1010 Carondelet Dr Ste 301
Kansas City, MO 64114-4859
Phone: (816) 943-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 000639 (MO)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 12000254 (KS)

Record details

NPI number1073550604
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 1, 2006
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 1990 (36 years in practice)
Group practice Kansas City Foot And Ankle Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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