Active NPI
Candice Suzette Stinnett Holt Moore, D.C.
- Chiropractor
- Conway, AR
National Provider Identifier
1275723728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1714
- Practice address
- 775 Amity Rd
Conway, AR 72032-5991 - Phone
- (501) 504-6999
- Fax
- (501) 205-8431
- NPI assigned
- Jul 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1714 | AR | Primary |
Addresses
Primary practice location
775 Amity Rd
Conway, AR 72032-5991
Mailing address
775 Amity Rd
Conway, AR 72032-5991
Phone (501) 504-6999
Other practice location 1
9772 Maumelle Blvd
North Little Rock, AR 72113-6737
Phone (501) 975-5432
Other names 1
- Dr. Candice Suzette Stinnett
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1714 | AR | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beebe Chiropractic, PA | Chiropractor | Current | Accepting new patients |
| Amanda Bledsoe Chiropractic Center, PLLC | Chiropractor | Past | Accepting new patients |
| Myers Family Chiropractic Center, LLC | Chiropractor | Past | Accepting new patients |
Locations
1070 S Saint Louis St
Batesville, AR 72501
Phone (870) 307-4798
605 W Dewitt Henry Dr
#C
Beebe, AR 72012
Phone (501) 882-7565
Organizations & group practices 3
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.
-
- Chiropractor
- Beebe, AR
- NPI 1831871730
-
- Chiropractor
- Conway, AR
- NPI 1295247294
-
- Chiropractor
- Erie, PA
- NPI 1255585188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679875200000",
"number": "1275723728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 AMITY RD",
"city": "CONWAY",
"state": "AR",
"postal_code": "720325991",
"telephone_number": "501-504-6999",
"fax_number": "501-205-8431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 AMITY RD",
"city": "CONWAY",
"state": "AR",
"postal_code": "720325991",
"telephone_number": "501-504-6999",
"fax_number": "501-205-8431"
}
],
"practiceLocations": [
{
"address_1": "9772 Maumelle Blvd",
"address_purpose": "LOCATION",
"city": "North Little Rock",
"state": "AR",
"postal_code": "721136737",
"country_code": "US",
"telephone_number": "501-975-5432",
"fax_number": "501-205-8431",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLT MOORE",
"first_name": "CANDICE",
"middle_name": "SUZETTE STINNETT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-31",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "1714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CANDICE",
"last_name": "STINNETT",
"middle_name": "SUZETTE",
"prefix": "DR.",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.