Active NPI
Jordan M. Spira, PA-C
- Physician Assistant
- Denver, CO
National Provider Identifier
1780007732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0003904
- Practice address
- 2055 N High St
#130
Denver, CO 80205-5503 - Phone
- (303) 861-2663
- Fax
- (303) 861-4741
- NPI assigned
- Jan 28, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0003904 | CO | Primary |
Addresses
Primary practice location
2055 N High St
#130
Denver, CO 80205-5503
Mailing address
4900 S Monaco St
#210
Denver, CO 80237-3486
Phone (303) 861-2663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25857339 | Medicaid | CO |
Other names 1
- Jordan M Brewer
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JORDAN.SPIRA@hca3.eclinicaldirectplus.com |
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0003904 | CO | MD | Physician Assistant |
Interoperability endpoints
- jordan.spira@hca3.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1780007732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 S MONACO ST",
"address_2": "#210",
"city": "DENVER",
"state": "CO",
"postal_code": "802373486",
"telephone_number": "303-861-2663",
"fax_number": "303-861-4741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 N HIGH ST",
"address_2": "#130",
"city": "DENVER",
"state": "CO",
"postal_code": "802055503",
"telephone_number": "303-861-2663",
"fax_number": "303-861-4741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIRA",
"first_name": "JORDAN",
"middle_name": "M.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-28",
"last_updated": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0003904",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "25857339",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JORDAN.SPIRA@hca3.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "2055 N High St",
"address_2": "#130",
"city": "Denver",
"state": "CO",
"country_code": "US",
"postal_code": "802055503",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JORDAN",
"last_name": "BREWER",
"middle_name": "M",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.