Stidham Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

STIDHAM CHIROPRACTIC PLLC

Doing business as

Paragould Chiropractic

Practice address

1715 Linwood Dr
Paragould, AR 72450-5820

Phone

(870) 236-8006

Fax

(870) 236-3942

NPI assigned

Jun 26, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Michael Edward Stidham, DCNPI 1629720768

Title

President

Phone

(870) 236-8006

Specialties & licenses 1

Addresses

Other names 1

• Paragould Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Edward Stidham, DC

  • Chiropractor
  • Paragould, AR
  • NPI 1629720768
  Medicare reassignment Care Compare group NPD Authorized official
• Michael W Jarman, D.C.

  • Chiropractor
  • Paragould, AR
  • NPI 1821094277
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1326883828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 LINWOOD DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505820",
            "telephone_number": "870-236-8006",
            "fax_number": "870-236-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 LINWOOD DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505820",
            "telephone_number": "870-236-8006",
            "fax_number": "870-236-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STIDHAM CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "STIDHAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-236-8006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paragould Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stewart Pediatric Therapy LLC
• Ashley Stewart
• Courtney Jean Stewart, APRN, NP-C
• Stephanie Stewart, RN
• Laurie Ann Stickel, OTR
• Daniel Troy Stidham, MHPP
• Michael Edward Stidham, DC
• Ashaunti Stinson
• Ladonna Sharence Stinson
• Kimberly Rae Stone, BA, MHPP

• Chiropractor in Paragould, AR
• Providers in Paragould, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.