Individual provider Active NPI

Louis Spear

  • Dentist
  • Blue Springs, MO
National Provider Identifier
1801250469
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2017008855 Issued in MO
Practice address
1215 A NW 7 Highway
Blue Springs, MO 64014
Phone
(816) 427-1164
NPI assigned
Apr 11, 2016
Last updated
Aug 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2017008855 MO Primary

Addresses

Primary practice location

1215 A NW 7 Highway
Blue Springs, MO 64014

Mailing address

4551 Pennsylvania Ave Unit 1312
Kansas City, MO 64111-3672
Phone (240) 688-0561

Other practice location 1

9400 Eagle Ridge Drive
Bethesda, MD 20817
Phone (240) 688-0561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160527001972 LA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0941590202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017008855MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Leap Dental PA Current Accepting new patients

Locations

3033 SW Villa West Dr
Ste A
Topeka, KS 66614
Phone (785) 228-0500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1801250469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4551 PENNSYLVANIA AVE UNIT 1312",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113672",
            "telephone_number": "240-688-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 A NW 7 HIGHWAY",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "64014",
            "telephone_number": "816-427-1164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9400 Eagle Ridge Drive",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "20817",
            "country_code": "US",
            "telephone_number": "240-688-0561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEAR",
        "first_name": "LOUIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2017008855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

Verify at the official NPI Registry.