Endeavor Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5536 Issued in OR

Legal business name

ENDEAVOR CHIROPRACTIC, LLC

Practice address

2275 NE Doctors Dr
Ste 11
Bend, OR 97701-6324

Phone

(541) 248-4476

NPI assigned

Mar 15, 2014

Last updated

Mar 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marie L Rudback, D.C.NPI 1639532401

Title

Owner

Phone

(541) 248-4476

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Marie Rudback, DC

  • Chiropractor
  • Bend, OR
  • NPI 1639532401
  Authorized official Same address or phone

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

{
    "created_epoch": "1394841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394841600000",
    "number": "1790101699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 NE DOCTORS DR",
            "address_2": "STE 11",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016324",
            "telephone_number": "541-248-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 NE DOCTORS DR",
            "address_2": "STE 11",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016324",
            "telephone_number": "541-248-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-15",
        "last_updated": "2014-03-15",
        "status": "A",
        "authorized_official_last_name": "RUDBACK",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-248-4476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Bend, OR
• Providers in Bend, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.