| Ignite Health | |
|
1676 Bryan Rd Ste 111, Dardenne Prairie, MO 63368-4801 | |
| (314) 800-8609 | |
| (636) 385-6507 |
| Full Name | Ignite Health |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1676 Bryan Rd Ste 111, Dardenne Prairie, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215401849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 111NR0400X | Chiropractor - Rehabilitation | (* (Not Available)) | Secondary |
| Provider Name | Jake Wayne Smith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376902288 PECOS PAC ID: 3375886633 Enrollment ID: I20190530001035 |
| Mailing Address | Practice Location Address |
|---|---|
| Ignite Health 137 Shadow Pointe Dr, Wentzville, MO 63385-3685 Ph: (314) 800-8609 | Ignite Health 1676 Bryan Rd Ste 111, Dardenne Prairie, MO 63368-4801 Ph: (314) 800-8609 |
Dr. Dustin Charles Jerome Bosson, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 7827 Highway N Ste 102, Dardenne Prairie, MO 63368 Phone: 636-486-6933 | |
Dr. Scott Klein, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7827 Town Square Ave Ste 102, Dardenne Prairie, MO 63368 Phone: 636-486-6933 | |
Dr. Amanda Drum, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1755 Stump Rd, Dardenne Prairie, MO 63368 Phone: 636-922-0777 | |
Dr. Jake Wayne Smith, D.C., M.S., B.S. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1676 Bryan Rd Ste 111, Dardenne Prairie, MO 63368 Phone: 314-800-8609 Fax: 636-385-6507 | |
Dr. Joshua M Fink, D.C., B.S. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1755 Stump Rd, Dardenne Prairie, MO 63368 Phone: 636-922-0777 Fax: 636-922-0833 | |
Vital Performance Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7827 Highway N Ste 102, Dardenne Prairie, MO 63368 Phone: 636-486-6933 |