Organization Active NPI

Reignite Chiropractic

  • Chiropractor
  • Hoover, AL
National Provider Identifier
1457969768
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
REIGNITE CHIROPRACTIC
Practice address
2717 John Hawkins Pkwy Ste 107
Hoover, AL 35244-4026
Phone
(478) 320-2197
NPI assigned
Jul 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Jacob Ussery, DONPI 1710595020
Title
Owner
Phone
(478) 320-2197

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 Primary

Addresses

Primary practice location

2717 John Hawkins Pkwy Ste 107
Hoover, AL 35244-4026

Mailing address

2717 John Hawkins Pkwy Ste 107
Hoover, AL 35244-4026
Phone (478) 320-2197

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201020003682 AL Part B Supplier - Clinic/Group Practice 0345660924 Receives reassigned benefits from 2 practitioners
Practice locations: Hoover, AL

National Provider Directory

National Provider Directory

Locations

2717 John Hawkins Pkwy
Ste 107
Hoover, AL 35244
Phone (205) 566-9905

Practitioners & affiliated clinicians

Practitioners 2

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": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1457969768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 JOHN HAWKINS PKWY STE 107",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444026",
            "telephone_number": "478-320-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 JOHN HAWKINS PKWY STE 107",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444026",
            "telephone_number": "478-320-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REIGNITE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "USSERY",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-320-2197",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.