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DERRICK LADEAIROUS DR.
NPI 1407327448
Chiropractor in Syracuse, NY

Active since December 17, 2018
1732 W GENESEE ST, SYRACUSE, NY 13204(631) 974-1849 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2019, Dec 17, 2018 (2 updates tracked since 2018).

About Derrick Ladeairous Dr. NPPES

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

DERRICK LADEAIROUS DR. (NPI 1407327448) is an individual chiropractor in Syracuse, New York, licensed in New York (X013188) and active in the NPI registry since December 2018. He maintains a secondary practice location in Smithtown and is a graduate of New York Chiropractic College (2018).

NPPES Registry Identity

NPI1407327448
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDERRICK LADEAIROUSCredential: DR.
Location Address1732 W GENESEE STSyracuse, NY 13204
Mailing Address1732 W Genesee StSyracuse, NY 13204-1902 · (631) 974-1849
Phone(631) 974-1849
Sole ProprietorNo
Medical School CMSNew York Chiropractic CollegeGraduated 2018
Enumeration DateDecember 17, 2018
Last NPPES UpdateMarch 6, 20192 updates tracked since enumeration
✔ NPI 1407327448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · X013188
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.
1732 W GENESEE ST, Syracuse, NY 13204
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Secondary Practice Location 1

Location 19 Greenwich RdSmithtown, NY 11787-2436 · Phone (631) 974-1849

Other Identifiers 1

Other1467755751NY · Group Npi

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derrick Ladeairous Dr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082047980
PECOS Enrollment IDI20210708002993

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
217 services31 patients

Other Providers at the Same Location NPPES 4

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

DR. NICOLE C LYNK DC
Chiropractor
1732 W GENESEE ST
SYRACUSE, NY 13204
Onondaga County (315) 214-8100
HIGH POINT CHIROPRACTIC WELLNESS PC
Chiropractor
1732 W GENESEE ST
SYRACUSE, NY 13204
Onondaga County (315) 214-8100
TREVOR JORDAN HORAN DC
Chiropractor
1732 W GENESEE ST
SYRACUSE, NY 13204
Onondaga County (315) 214-8100
DR. IRUM TAHIR D.C.
Chiropractor
1732 W GENESEE ST
SYRACUSE, NY 13204
Onondaga County (315) 214-8100

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 Derrick Ladeairous's NPI number?

The NPI number for Derrick Ladeairous is 1407327448. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Where is Derrick Ladeairous located?

Derrick Ladeairous practices at 1732 W Genesee St, Syracuse, NY 13204. The listed phone number is (631) 974-1849.

What is Derrick Ladeairous's specialty?

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

Is Derrick Ladeairous enrolled in Medicare?

Yes. Derrick Ladeairous is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derrick Ladeairous was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.