Individual provider Active NPI

Candice Suzette Stinnett Holt Moore, D.C.

  • Chiropractor
  • Conway, AR
National Provider Identifier
1275723728
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1714 Issued in AR
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

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
1714ARMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beebe Chiropractic, PA Chiropractor CurrentSince Apr 4, 2024 Accepting new patients
Amanda Bledsoe Chiropractic Center, PLLC Chiropractor Past Accepting new patients
Myers Family Chiropractic Center, LLC Chiropractor PastSince Oct 14, 2016 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.

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.

Verify at the official NPI Registry.