Organization Active NPI

Endeavor Chiropractic, LLC

  • Chiropractor
  • Mountain Grove, MO
National Provider Identifier
1912795501
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ENDEAVOR CHIROPRACTIC, LLC
Practice address
200 N Main St Ste G
Mountain Grove, MO 65711-1619
Phone
(417) 988-3677
Fax
(833) 308-0590
NPI assigned
Apr 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Dr. Stephen Kunz, DCNPI 1396367066
Title
Owner/Doctor of Chiropractic
Phone
(417) 988-3677

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

200 N Main St Ste G
Mountain Grove, MO 65711-1619

Mailing address

200 N Main St Ste G
Mountain Grove, MO 65711-1619
Phone (417) 988-3677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260316002501 MO Part B Supplier - Clinic/Group Practice 4486137650 Receives reassigned benefits from 1 practitioner
Practice locations: Mountain Grove, MO

National Provider Directory

National Provider Directory

Locations

200 N Main St
Ste G
Mountain Grove, MO 65711
Phone (417) 988-3677

Practitioners & affiliated clinicians

Practitioners 1

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": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1912795501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N MAIN ST STE G",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111619",
            "telephone_number": "417-988-3677",
            "fax_number": "833-308-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MAIN ST STE G",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111619",
            "telephone_number": "417-988-3677",
            "fax_number": "833-308-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "KUNZ",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER/DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "417-988-3677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Grove, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.