Jake Wayne Smith, D.C., M.S., B.S.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2016043441 Issued in MO

Practice address

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

Phone

(314) 800-8609

Fax

(636) 385-6507

NPI assigned

Feb 19, 2016

Last updated

May 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science, Master of Science

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ignite Health, LLC

  dba Ignite Health

  • Chiropractor
  • Dardenne Prairie, MO
  • NPI 1215401849
  Authorized official Same address or phone

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1376902288",
    "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": {
        "last_name": "SMITH",
        "first_name": "JAKE",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C., M.S., B.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-19",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MO",
            "license": "2016043441",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2016043441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Selvey, PHARM.D.
• Shelly L. Sarich D.D.S., M.S., P.C.
• Shelly L. Sarich DDS,Ms and Spencer Elmore DDS, Ms, PC
• Lindsey H Shorter, PHARMD
• Christina Louise Smith
• SP Emr Med Associates LLC
• Jennifer Lynn Johnson Steinlage, DPT
• Kari Shea Stopp, CSFA
• Jordan Elise Stulce
• Summit Counseling Services, LLC (Unlimited Potential Counseling and Education Center)

• 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.