Healthcare Provider Details

I. General information

NPI: 1730188418
Provider Name (Legal Business Name): CHRIS JAMES MAEDA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2005
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4440 BROADWAY BLVD
KANSAS CITY MO
64111-3315
US

IV. Provider business mailing address

4440 BROADWAY BLVD
KANSAS CITY MO
64111-3315
US

V. Phone/Fax

Practice location:
  • Phone: 816-931-2105
  • Fax: 816-931-0509
Mailing address:
  • Phone: 816-931-2105
  • Fax: 816-931-0509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberR8C98
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: