DR. JAKE WAYNE SMITH (NPI# 1376902288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376902288 |
| Entity Type | Individual |
| Full Name | DR. JAKE WAYNE SMITH |
| Credential | D.C., M.S., B.S. |
| Practice Address |
1601 Bryan Rd O Fallon MO 63368-4815 |
| Mailing Address |
137 Shadow Pointe Dr Wentzville MO 63385-3685 |
| Practice Telephone | 3148008609 |
| Mailing Telephone | 3148008609 |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2019-01-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2016043441 | MO | Chiropractic Providers |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
2016043441 | MO | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102297 | Jake Seiko Smith | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 634, Little Rock, AR 72205-7101 | 2020-04-06 |
| 1528528551 | Jake Michael Smith | Student in an Organized Health Care Education/Training Program | 5246 Brittany Dr, Baton Rouge, LA 70808-9136 | 2019-03-25 |
| 1437616166 | Jake Smith | Specialist/Technologist | 3900 Lomaland Dr, San Diego, CA 92106-2899 | 2019-02-28 |
| 1164965166 | Jake Smith | Counselor | 2300 Wall St Ste F, Cincinnati, OH 45212-2794 | 2016-11-22 |
| 1568508364 | Jake Ashton Smith | Rehabilitation Counselor | 5910 Clark Road, Suites H and I, Paradise, CA 95969 | 2007-01-29 |
| Street Address |
1601 BRYAN RD |
| City | O FALLON |
| State | MO |
| Zip Code | 63368-4815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730251372 | Holly Shinn | Physical Therapist | 1601 Bryan Rd, O Fallon, MO 63368-4815 | 2006-11-15 |
| 1215401849 | Ignite Health, LLC | Chiropractor | 1601 Bryan Rd, O Fallon, MO 63368-4815 | 2019-01-16 |
| 1053739235 | Healthy Life Chiropractic and Wellness, LLC | Chiropractor | 1601 Bryan Rd, O Fallon, MO 63368-4815 | 2014-04-03 |
| 1487086385 | Daniel Jablonski | Chiropractor | 1601 Bryan Rd, O Fallon, MO 63368-4815 | 2013-08-01 |
| 1457621526 | Healthy Life Chiropractic and Wellness, LLC | Chiropractor | 1601 Bryan Rd, O Fallon, MO 63368-4815 | 2012-01-06 |
| 1700086287 | O'fallon Therapy Services, LLC | Physical Therapist | 1601 Bryan Rd, O Fallon, MO 63368-4815 | 2007-07-23 |
| 1568662047 | O'fallon Physician Services, LLC | Chiropractor | 1601 Bryan Rd, O Fallon, MO 63368-4815 | 2007-07-23 |
| 1679606545 | O'fallon Pain Center | Chiropractor | 1601 Bryan Rd, O Fallon, MO 63368-4815 | 2007-03-13 |
| 1942374608 | Aimee M. Calvin | Physical Therapist | 1601 Bryan Rd, O Fallon, MO 63368-4815 | 2006-11-17 |
| 1457424624 | Thomas R Culligan Iv | Chiropractor | 1601 Bryan Rd, O Fallon, MO 63368-4815 | 2006-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
| 1770124802 | Lisa N. Greer | Technician | 6911 Brassel Dr., Ofallon, MO 63368 | 2019-09-30 |
| 1770145716 | Halie Faye Gulley | Dentist | 3009 Hwy K, O'fallon, MO 63368 | 2019-06-29 |
| 1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
| 1427579960 | Air Evac Ems, Inc. | Ambulance | 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 | 2017-07-06 |
| 1528507472 | Washeck Manual Therapy LLC | Clinic/Center | 3074 Winghaven Blvd, O'fallon, MO 63368 | 2017-02-13 |
| 1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
| 1124561469 | Cardinal Home Care LLC | Home Health | 18 Convent Garden Ct, O'fallon, MO 63368 | 2016-11-18 |
| 1336509272 | Sarah Marie Mudd | Counselor | 1654 Bryan Road, O'fallon, MO 63368 | 2016-03-04 |
| 1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
| Find all providers in zip 63368 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003473950 | Daniel Thomas Spitler II | Chiropractor | 1246 Bryan Rd, O Fallon, MO 63366-3771 | 2019-05-28 |
| 1992203491 | Brandon Michael Daniels | Chiropractor | 734 Cambridge Blvd # 100, O Fallon, IL 62269-1964 | 2018-01-30 |
| 1144738022 | Margaret Stupakewicz | Chiropractor | 199 Frontier Park Dr, O Fallon, MO 63366-3963 | 2018-01-13 |
| 1003326075 | Keim Family Chiropractic LLC | Chiropractor | 804 W Highway 50 Ste 210, O Fallon, IL 62269-1827 | 2017-10-04 |
| 1073033452 | Bone & Joint Chiropractic Center LLC | Chiropractor | 2917 Highway K Ste F, O Fallon, MO 63368-7879 | 2017-06-26 |
| 1356894273 | Bradley Agan | Chiropractor | 1297 Bryan Rd, O Fallon, MO 63366-3729 | 2016-07-27 |
| 1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
| 1164801353 | John Mischel | Chiropractor | 1411 W Highway 50 Ste 103, O Fallon, IL 62269-1683 | 2015-05-21 |
| 1982012555 | Laura Mcateer Dc LLC | Chiropractor | 7287 Watsons Parish Dr, O Fallon, MO 63368-8151 | 2014-07-28 |
| 1518384163 | Edmistone Acupuncture & Chiropractic | Chiropractor | 1317 W Highway 50, O Fallon, IL 62269-1616 | 2014-03-20 |
| Find all providers in O FALLON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.