Healthcare Provider Details

I. General information

NPI: 1104782036
Provider Name (Legal Business Name): CHRISTOPHER MCGURK D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: CJ MCGURK D.C.

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 S MAIN ST STE D
GRAIN VALLEY MO
64029-9703
US

IV. Provider business mailing address

203 S MAIN ST STE D
GRAIN VALLEY MO
64029-9703
US

V. Phone/Fax

Practice location:
  • Phone: 816-443-5485
  • Fax:
Mailing address:
  • Phone: 816-443-5485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2025053407
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: