CHILDRESS CHIROPRACTIC PC
NPI 1184080608
Chiropractor in De Witt, NY

Active since January 13, 2016
4317 E GENESEE ST, SUITE 101, DE WITT, NY 13214(315) 449-4465(315) 449-4466 Get Directions Write a Review

NPPES record last updated: January 13, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Childress Chiropractic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHILDRESS CHIROPRACTIC PC (NPI 1184080608) is a healthcare organization registered as a chiropractor in De Witt, New York and active in the NPI registry since January 2016. The organization lists Cody Childress, Owner, as its authorized official.

NPPES Registry Identity

NPI1184080608
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCHILDRESS CHIROPRACTIC PC
Location Address4317 E GENESEE ST, SUITE 101De Witt, NY 13214-2114
Mailing Address4317 E Genesee St, Suite 101De Witt, NY 13214-2114 · (315) 449-4465
Fax(315) 449-4466
Organization SubpartNo
Authorized OfficialCody ChildressOwner · (315) 449-4465
Enumeration DateJanuary 13, 2016
NPI 1184080608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NY · X012698-1
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4317 E GENESEE ST, De Witt, NY 13214

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
4317 E GENESEE ST, SUITE 202
SYRACUSE, NY 13214
Counselor (Mental Health)
4317 E GENESEE ST, SUITE 204
SYRACUSE, NY 13214
Counselor (Mental Health)
4317 E GENESEE ST, SUITE 204
SYRACUSE, NY 13214
Psychologist (Clinical Child & Adolescent)
4317 E GENESEE ST, SUITE 202
SYRACUSE, NY 13214
Chiropractor
4317 E GENESEE ST, SUITE 101
DE WITT, NY 13214
Marriage & Family Therapist
4317 E GENESEE ST
SYRACUSE, NY 13214
Social Worker (Clinical)
4317 E GENESEE ST
SYRACUSE, NY 13214
Counselor (Mental Health)
4317 E GENESEE ST, SUITE 204
SYRACUSE, NY 13214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Childress Chiropractic PC's NPI number?

The NPI number for Childress Chiropractic PC is 1184080608. It was assigned to this organization in the NPPES registry on January 13, 2016.

Where is Childress Chiropractic PC located?

Childress Chiropractic PC is located at 4317 E Genesee St Suite 101, De Witt, NY 13214. The listed phone number is (315) 449-4465.

What is Childress Chiropractic PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Childress Chiropractic PC was last updated on January 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.