Michael Edward Stidham, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

16319 Issued in AR

Practice address

1715 Linwood Dr
Paragould, AR 72450-5820

Phone

(870) 236-8006

Fax

(870) 236-3942

NPI assigned

Jan 20, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stidham Chiropractic PLLCGroup PAC ID 2062944903, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Stidham Chiropractic PLLC

  • Chiropractor
  • Paragould, AR
  • NPI 1326883828
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1629720768",
    "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": {
        "last_name": "STIDHAM",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-20",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ChiroTouch",
            "affiliation": "N",
            "endpointDescription": "Desktop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1715 Linwood Dr",
            "city": "Paragould",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724505820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Courtney Jean Stewart, APRN, NP-C
• Stephanie Stewart, RN
• Laurie Ann Stickel, OTR
• Stidham Chiropractic PLLC
• Daniel Troy Stidham, MHPP
• Ashaunti Stinson
• Ladonna Sharence Stinson
• Kimberly Rae Stone, BA, MHPP
• Mary Ashley Nicole Stormes
• Krista Strayhorn

• 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 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.