NPIMap

Organization Active NPI

Ignite Health, LLC

Doing business as Ignite Health

  • Chiropractor
  • Dardenne Prairie, MO
National Provider Identifier
1215401849
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
IGNITE HEALTH, LLC
Doing business as
Ignite Health
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
Last updated
May 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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, BSNPI 1376902288
Title
Owner, Chiropractic Physician
Phone
(636) 385-6506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary
Rehabilitation ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0400X

Addresses

Primary practice location

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

Mailing address

137 Shadow Pointe Dr
Wentzville, MO 63385-3685
Phone (314) 800-8609

Other names 1

  • Ignite Health Doing business as

National Provider Directory

National Provider Directory

Locations

1676 Bryan Rd
Ste 111
Dardenne Prairie, MO 63368
Phone (314) 800-8609

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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"
        }
    ]
}

Other providers in Dardenne Prairie, MO

Sources for this page

  • 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.