Ignite Health, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

IGNITE HEALTH, LLC

Practice address

1676 Bryan Rd Ste 111
Dardenne Prairie, MO 63368-4801

Phone

(314) 800-8609

Fax

(636) 385-6507

NPI assigned

Jan 16, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jake Wayne Smith, DC, MS, BS

Title

Owner, Chiropractic Physician

Phone

(636) 385-6506

Specialties & licenses 2

Addresses

Other names 1

• Ignite Health Doing business as

Locations

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1215401849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 SHADOW POINTE DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853685",
            "telephone_number": "314-800-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 BRYAN RD STE 111",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "633684801",
            "telephone_number": "314-800-8609",
            "fax_number": "636-385-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAKE",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER, CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "636-385-6506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, MS, BS"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ignite Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ignite Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reece M Hadden, DPT
• Kimberly Hadley, CNP
• Brian Heaney, RPH
• Brittany Hogan
• Grant Michael Hughes, PHARM.D.
• Caroline M Jaycox, DPT
• Jumpstart PT 4 Kids LLC
• Toni Therese Kalish, PT
• Eric Lamont Key, PMHNP
• Scott Klein, DC

• Chiropractor in Dardenne Prairie, MO
• Providers in Dardenne Prairie, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.