Active NPI
Ignite Chiropractic and Wellness
- Sports Physician Chiropractor
- Overland Park, KS
National Provider Identifier
1124874854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240701001009 | KS | Part B Supplier - Clinic/Group Practice | 5496299505 |
Receives reassigned benefits from 1 practitioner Practice locations: Stilwell, KS |
National Provider Directory
National Provider DirectoryLocations
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.