Organization Active NPI

Ignite Chiropractic and Wellness

  • Sports Physician Chiropractor
  • Overland Park, KS
National Provider Identifier
1124874854
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
IGNITE CHIROPRACTIC AND WELLNESS
Practice address
16082 Metcalf Ave
Overland Park, KS 66085-9249
Phone
(402) 470-7050
NPI assigned
Apr 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Dr. Travis John Bangert, DC
Title
Chiropractor
Phone
(402) 470-7050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X Primary

Addresses

Primary practice location

16082 Metcalf Ave
Overland Park, KS 66085-9249

Mailing address

3121 S 11TH St # Ne68502
Lincoln, NE 68502-4416
Phone (402) 470-7050

Other names 1

  • Advance Chiropractic Solutons Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240701001009 KS Part B Supplier - Clinic/Group Practice 5496299505 Receives reassigned benefits from 1 practitioner
Practice locations: Stilwell, KS

National Provider Directory

National Provider Directory

Locations

16070 Metcalf Ave
Stilwell, KS 66085
Phone (913) 608-8545

3121 S 11th St
Lincoln, NE 68502
Phone (402) 328-0028

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1124874854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 S 11TH ST # NE68502",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685024416",
            "telephone_number": "402-470-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16082 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "660859249",
            "telephone_number": "402-470-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE CHIROPRACTIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "BANGERT",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "402-470-7050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Chiropractic Solutons",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.