Payton Holmes, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.013623 Issued in IL

Practice address

107 N Main St
Monmouth, IL 61462-1738

Phone

(309) 299-6968

NPI assigned

Jan 4, 2021

Last updated

Oct 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Personal Best Chiropractic, LLC

  • Chiropractor
  • Monmouth, IL
  • NPI 1417545658
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1508454737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 NE 6TH AVE",
            "city": "ALEDO",
            "state": "IL",
            "postal_code": "612311155",
            "telephone_number": "309-299-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N MAIN ST",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "614621738",
            "telephone_number": "309-299-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "PAYTON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leland Hank Jr.
• Henderson County Rural Health Center Inc (Eagle View Community Health System)
• Krista Ann Henderson, D.T.
• High Point Residence Monmouth
• Trisha Lynn Hodges, RDH
• Byung Il Hyun, MD
• Illinois Medicaid-Substance Abuse Monmouth
• Illinois Primary Urgent Care LLC
• Jamieson Community Center
• Stephen Ackerman Johnson, D.D.S.

• Chiropractor in Monmouth, IL
• Providers in Monmouth, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.