Holden J. Stanfill, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2021002719 Issued in MO

Practice address

16111 Manchester Rd Ste 202
Ellisville, MO 63011-2489

Phone

(636) 735-1199

NPI assigned

Jan 22, 2021

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 MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Stanfill Chiropractic and Rehabilitation LLC

  • Chiropractor
  • Ellisville, MO
  • NPI 1699365635
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1902496078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 ELM CROSSING CT",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217477",
            "telephone_number": "731-358-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16111 MANCHESTER RD STE 202",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112489",
            "telephone_number": "636-735-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFILL",
        "first_name": "HOLDEN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2021002719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Taylor Sommerfeld, MOTR/L
• Spinnakers LLC
• St. Louis Urgent Care #2 LLC
• Heather Dawn Stamer, P.T.
• Stanfill Chiropractic and Rehabilitation LLC
• Scott Michael Stevenson
• Roxanne Steward, PLPC
• Meredith B Stuart, DPM
• Suiter Chiropractic Clinic LLC
• Jacqueline Denise Sullivan, PTA ATRIC

• Chiropractor in Ellisville, MO
• Providers in Ellisville, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.