Organization Active NPI

Radiant Chiropractic and Natural Health LLC

  • Clinic/Center
  • Jerseyville, IL
National Provider Identifier
1952273914
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RADIANT CHIROPRACTIC AND NATURAL HEALTH LLC
Practice address
105 N Washington St
Jerseyville, IL 62052-1633
Phone
(618) 556-1062
NPI assigned
Sep 19, 2025
Last updated
Feb 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Samantha Stackpole, DCNPI 1487427696
Title
Owner/Physician
Phone
(618) 556-1062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

105 N Washington St
Jerseyville, IL 62052-1633

Mailing address

105 N Washington St
Jerseyville, IL 62052-1633
Phone (618) 556-1062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260512002974 IL Part B Supplier - Clinic/Group Practice 1456820109 Receives reassigned benefits from 1 practitioner
Practice locations: Jerseyville, IL

National Provider Directory

National Provider Directory

Locations

105 N Washington St
Jerseyville, IL 62052
Phone (618) 556-1062

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1952273914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N WASHINGTON ST",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620521633",
            "telephone_number": "618-556-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N WASHINGTON ST",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620521633",
            "telephone_number": "618-556-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT CHIROPRACTIC AND NATURAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-19",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "STACKPOLE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "618-556-1062",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jerseyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.