Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Childress Chiropractic PC

Organization Chiropractor · NPI 1184080608

Childress Chiropractic PC provides Chiropractor services in De Witt, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4317 E Genesee St Ste 101
De Witt, NY 13214-2114 Not confirmed with CMS for 10 years — call before visiting
Phone: (315) 449-4465
Fax: (315) 449-4466
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence X012698-1 (NY)

Record details

NPI number1184080608
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cody Childress — Owner · (315) 449-4465
NPI enumeratedJanuary 13, 2016
Last updated in NPPESJanuary 13, 2016
Mailing address4317 E Genesee St, Suite 101, De Witt, NY 13214-2114

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