Active NPI
Radiant Chiropractic and Natural Health LLC
- Clinic/Center
- Jerseyville, IL
National Provider Identifier
1952273914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samantha Stackpole, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Jerseyville, IL
- NPI 1487427696
-
- Chiropractor
- Jerseyville, IL
- NPI 1740149954
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
- Petersen Health Network, LLC (Willow Rose Rehabilitation & Health Care)
- Phillips Investment, LLC - Jerseyville Operation Series
- Katelyn Sue Phillips, DNP
- Mannica Pierre
- Regina Plummer, LCSW
- Ryan Rauscher
- Larry Duane Rawlings, C.R.N.A.
- Larry D Reed, M.D.
- Dawn Marie Reeder, PHARMD
- Restorative Solutions Counseling, LLC
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.