NPIMap

Organization Active NPI

Endeavor Chiropractic, PLLC

  • Chiropractor
  • Livonia, MI
National Provider Identifier
1881366243
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ENDEAVOR CHIROPRACTIC, PLLC
Practice address
18320 Farmington Rd
Livonia, MI 48152-3230
Phone
(248) 893-7019
Fax
(734) 943-6045
NPI assigned
Oct 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Dr. Brooke Crandall, DCNPI 1669990131
Title
Co-Owner, Chiropractic Physician
Phone
(248) 893-7019

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary
Pediatric ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NP0017X

Addresses

Primary practice location

18320 Farmington Rd
Livonia, MI 48152-3230

Mailing address

18320 Farmington Rd
Livonia, MI 48152-3230
Phone (248) 893-7019

Other names 1

  • Endeavor Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211015002266 MI Part B Supplier - Clinic/Group Practice 1153729454 Receives reassigned benefits from 2 practitioners
Practice locations: Livonia, MI

National Provider Directory

National Provider Directory

Locations

18320 Farmington Rd
Livonia, MI 48152
Phone (248) 476-6100

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1881366243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18320 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523230",
            "telephone_number": "248-893-7019",
            "fax_number": "734-943-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18320 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523230",
            "telephone_number": "248-893-7019",
            "fax_number": "734-943-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "CRANDALL",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "CO-OWNER, CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "248-893-7019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endeavor Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.