Endeavor Health and Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007668 Issued in IA

Legal business name

ENDEAVOR HEALTH AND CHIROPRACTIC LLC

Practice address

2461 10TH St Ste 11
Coralville, IA 52241-1201

Phone

(319) 351-4090

NPI assigned

Aug 2, 2018

Organization subpart

No

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

Authorized official

Name

Julie Katherine Potter, DC PHD

Title

Dr.

Phone

(319) 351-4090

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1821576752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2461 10TH ST STE 11",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411201",
            "telephone_number": "319-351-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2461 10TH ST STE 11",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411201",
            "telephone_number": "319-351-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR HEALTH AND CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "319-351-4090",
        "authorized_official_credential": "DC PHD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Coralville, IA
• Providers in Coralville, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.