Individual provider · Type 1 NPI

Djaris Cisneros

Prosthetic/Orthotic Supplier · Independence, MO

NPI number 1932051133 Active

Practice location

2400 S Lees Summit Rd
Independence, MO 64055-1937

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000X1999134831 (MO)

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

About NPI 1932051133

Djaris Cisneros's National Provider Identifier is 1932051133, issued on Feb 10, 2026. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Independence, MO. The record was last updated on Feb 10, 2026.