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MR. NICHOLAS CHILDERS
NPI 1295459204
Pedorthist in Detroit, MI

Active since October 03, 2022
4646 JOHN R ST, DETROIT, MI 48201(313) 576-1000(313) 576-1806 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Nicholas Childers NPPES

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

MR. NICHOLAS CHILDERS (NPI 1295459204) is an individual pedorthist provider in Detroit, Michigan and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1295459204
Entity TypeIndividualMale
Primary Taxonomy224L00000X
Provider Legal NameMR. NICHOLAS CHILDERS
Location Address4646 JOHN R STDetroit, MI 48201-1916
Mailing Address4646 John R StDetroit, MI 48201-1916 · (313) 576-1000 · Fax (313) 576-1806
Phone(313) 576-1000
Fax(313) 576-1806
Sole ProprietorNo
Enumeration DateOctober 3, 2022
NPPES CertifiedOctober 3, 2022
✔ NPI 1295459204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224L00000X
Definition
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
4646 JOHN R ST, Detroit, MI 48201
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Other Providers at the Same Location NPPES 20

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

DR. YURIJ CHERSTYLO
Student in an Organized Health Care Education/Training Program
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
NAVITHA LONAPPAN
Registered Nurse (Medical-Surgical)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
SHARI KABETH RN
Registered Nurse (Gastroenterology)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
DEREK CURTIS THAMARUS
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1294
MOLLY GEORGE
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1316
EDWIN RAYMOND MILLER
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
MR. EDWIN INTIG LOON JR.
Licensed Practical Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
ASHLEY NICOLE DANIELS MDIV
Religious Nonmedical Practitioner
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000

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 Nicholas Childers's NPI number?

The NPI number for Nicholas Childers is 1295459204. It was assigned to this individual provider in the NPPES registry on October 3, 2022.

Where is Nicholas Childers located?

Nicholas Childers practices at 4646 John R St, Detroit, MI 48201. The listed phone number is (313) 576-1000.

What is Nicholas Childers's specialty?

The primary specialty registered for this NPI is Pedorthist with taxonomy code 224L00000X.

When was this NPI record last updated?

The NPPES record for Nicholas Childers was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.