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: July 19, 2026.

  • Organization
  • Chiropractor

About CHILDRESS CHIROPRACTIC PC

This page provides the complete NPI Profile along with additional information for Childress Chiropractic Pc, a provider established in De Witt, New York operating as a Chiropractor. The healthcare provider is registered in the NPI registry with number 1184080608 assigned on January 2016. The practitioner's primary taxonomy code is 111N00000X with license number X012698-1 (NY). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Cody Childress Dc (Owner)

NPI
1184080608 Verify this NPI
Provider Name
CHILDRESS CHIROPRACTIC PC
Entity Type
Organization
Location Address
4317 E GENESEE ST SUITE 101 DE WITT, NY 13214
Location Phone
(315) 449-4465
Location Fax
(315) 449-4466
Mailing Address
4317 E GENESEE ST SUITE 101 DE WITT, NY 13214
Mailing Phone
(315) 449-4465
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-13-2016
Last Update Date
01-13-2016
Code Navigator

A chiropractor like Childress Chiropractic Pc helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Chiropractor

Taxonomy Code
111N00000X
Type
Chiropractic Providers
License No.
X012698-1
License State
NY
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CODY CHILDRESS DC

Authorized Official Title
OWNER
Authorized Official Phone
(315) 449-4465

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Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Counselor (Mental Health)
4317 E GENESEE ST, SUITE 105
SYRACUSE, NY 13214
Chiropractor
4317 E GENESEE ST, SUITE 101
DE WITT, NY 13214
Counselor (Mental Health)
4317 E GENESEE ST, SUITE 204
SYRACUSE, NY 13214
Psychologist (Clinical)
4317 E GENESEE ST, SUITE 202
SYRACUSE, NY 13214
Psychologist (Clinical Child & Adolescent)
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
Nurse Practitioner (Family)
4317 E GENESEE ST, ST. 210
SYRACUSE, NY 13214
Marriage & Family Therapist
4317 E GENESEE ST
SYRACUSE, NY 13214
Social Worker (Clinical)
4317 E GENESEE ST
SYRACUSE, NY 13214

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184080608, enumerated as an "organization" on January 13, 2016.

The provider is located at 4317 E GENESEE ST SUITE 101 DE WITT, NY 13214 and the phone number is (315) 449-4465.

Chiropractor with taxonomy code 111N00000X.