Provider Demographics
NPI:1760176473
Name:SPIRA INNOVATIONS, LLC.
Entity Type:Organization
Organization Name:SPIRA INNOVATIONS, LLC.
Other - Org Name:SPIRA CARE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:ALVIN
Authorized Official - Last Name:GRINDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-395-3520
Mailing Address - Street 1:2301 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-2429
Mailing Address - Country:US
Mailing Address - Phone:181-639-5352
Mailing Address - Fax:
Practice Address - Street 1:7341 W 133RD ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-4750
Practice Address - Country:US
Practice Address - Phone:913-297-7472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty