Individual provider Active NPI

Makayla J Holtschneider, DC

  • Chiropractor
  • Eldon, MO
National Provider Identifier
1255971982
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2020001001 Issued in MO
Practice address
602 E 4TH St
Eldon, MO 65026-1838
Phone
(573) 301-4555
NPI assigned
Jan 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2020001001 MO Primary

Addresses

Primary practice location

602 E 4TH St
Eldon, MO 65026-1838

Mailing address

602 E 4TH St
Eldon, MO 65026-1838
Phone (573) 301-4555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200212002062 MO Practitioner - Chiropractic 3072949924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1616 Southridge Dr
Suite 202
Jefferson City, MO 65109-5677
Phone (573) 415-6027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020001001MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Chiropractic LLC Chiropractor CurrentSince Sep 28, 2022 Accepting new patients

Locations

602 E 4th St
Eldon, MO 65026
Phone (573) 301-4555

203 S Maple St
Eldon, MO 65026
Phone (573) 415-6027

1616 Southridge Dr
Ste 202
Jefferson Cty, MO 65109
Phone (573) 635-0401

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1255971982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E 4TH ST",
            "city": "ELDON",
            "state": "MO",
            "postal_code": "650261838",
            "telephone_number": "573-301-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E 4TH ST",
            "city": "ELDON",
            "state": "MO",
            "postal_code": "650261838",
            "telephone_number": "573-301-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTSCHNEIDER",
        "first_name": "MAKAYLA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2020001001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.