Organization Active NPI

Ignite Chiropractic PLLC

  • Chiropractor
  • Rogers, AR
National Provider Identifier
1134617848
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
T16188 Issued in AR
Legal business name
IGNITE CHIROPRACTIC PLLC
Practice address
4305 S Pleasant Crossing Blvd Ste 102
Rogers, AR 72758-1347
Phone
(405) 771-0668
NPI assigned
Apr 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Authorized official

Name
Dr. Natalie M Horine, DC, MSNPI 1316354087
Title
Co-Owner/Chiropractor
Phone
(740) 381-0818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X T16188 AR Primary

Addresses

Primary practice location

4305 S Pleasant Crossing Blvd Ste 102
Rogers, AR 72758-1347

Mailing address

4101 W Huntington Dr Apt 2308
Rogers, AR 72758-4191
Phone (740) 381-0818

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180706000706 AR Part B Supplier - Clinic/Group Practice 0648526582 Receives reassigned benefits from 4 practitioners
Practice locations: Rogers, AR

National Provider Directory

National Provider Directory

Locations

4305 S Pleasant Crossing Blvd
Ste 102
Rogers, AR 72758
Phone (406) 771-0668

Practitioners & affiliated clinicians

Practitioners 4

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": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1134617848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 W HUNTINGTON DR APT 2308",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727584191",
            "telephone_number": "740-381-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 S PLEASANT CROSSING BLVD STE 102",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581347",
            "telephone_number": "405-771-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "HORINE",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "740-381-0818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, MS"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "T16188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.