PAYTON HOLMES DC
NPI 1508454737
Chiropractor in Monmouth, IL

Active since January 04, 2021
107 N MAIN ST, MONMOUTH, IL 61462(309) 299-6968 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 7, 2021, Jan 4, 2021 (2 updates tracked since 2021).

About Payton Holmes Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAYTON HOLMES DC (NPI 1508454737) is an individual chiropractor in Monmouth, Illinois, licensed in Illinois (038.013623) and active in the NPI registry since January 2021. He is a graduate of Palmer College Chiropractic - Davenport (2020).

NPPES Registry Identity

NPI1508454737
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NamePAYTON HOLMESCredential: DC
Location Address107 N MAIN STMonmouth, IL 61462-1738
Mailing Address510 Ne 6th AveAledo, IL 61231-1155 · (309) 299-6968
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2020
Enumeration DateJanuary 4, 2021
Last NPPES UpdateOctober 7, 20212 updates tracked since enumeration
NPPES CertifiedOctober 7, 2021
NPI 1508454737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 038.013623
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

107 N MAIN ST, Monmouth, IL 61462

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Payton Holmes Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395140370
PECOS Enrollment IDI20210830002024

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
107 N MAIN ST
MONMOUTH, IL 61462

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508454737, enumerated as an "individual" on January 04, 2021.

The provider is located at 107 N MAIN ST MONMOUTH, IL 61462 and the phone number is (309) 299-6968.

Chiropractor with taxonomy code 111N00000X.