Earl a. Childress, D.C., Inc. (a Professional Chiropractic Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

306 Issued in LA

Legal business name

EARL A. CHILDRESS, D.C., INC. (A PROFESSIONAL CHIROPRACTIC CORPORATION

Practice address

605 Broadway St
Delhi, LA 71232-3101

Phone

(318) 878-3778

Fax

(318) 878-3779

NPI assigned

Jun 19, 2012

Last updated

Jun 19, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Earl A Childress, D.C.NPI 1629294863

Title

Owner/President

Phone

(318) 878-3778

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Earl Atwood Childress, D.C.

  • Chiropractor
  • Delhi, LA
  • NPI 1629294863
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1003179680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 BROADWAY ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712323101",
            "telephone_number": "318-878-3778",
            "fax_number": "318-878-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 BROADWAY ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712323101",
            "telephone_number": "318-878-3778",
            "fax_number": "318-878-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARL A. CHILDRESS, D.C., INC. (A PROFESSIONAL CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "CHILDRESS",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "318-878-3778",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Kelley Dickerson, PMHNP
• Angelic Dorsey
• Richard Fred Douciere
• Takera Dugan
• E W Thomson Drug Co LTD (E W Thomson Drug Co Inc)
• Edward H Eiland Jr DDS LTD
• Edward H. Eiland Jr., D.D.S.
• Jill Nicole Elias, MSW,LCSW
• Jacinta Elzy
• Lyndsey Englerth

• Chiropractor in Delhi, LA
• Providers in Delhi, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.