NPIMap

Organization Active NPI

Ditty Chiropractic, LLC

  • Chiropractor
  • Green Bay, WI
National Provider Identifier
1245545136
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4204-012 Issued in WI
Legal business name
DITTY CHIROPRACTIC, LLC
Practice address
2170 Velp Ave
Suite 105
Green Bay, WI 54303-6596
Phone
(920) 434-2615
NPI assigned
Aug 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Authorized official

Name
Dr. Marc D. Ditty, D.C.NPI 1912939711
Title
Owner/Chiropractor
Phone
(920) 434-2615

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4204-012 WI Primary

Addresses

Primary practice location

2170 Velp Ave
Suite 105
Green Bay, WI 54303-6596

Mailing address

2170 Velp Ave
Suite 105
Green Bay, WI 54303-6596
Phone (920) 434-2615

National Provider Directory

National Provider Directory

Locations

2170 Velp Ave
Ste 105
Green Bay, WI 54303
Phone (920) 434-2615

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1245545136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 VELP AVE",
            "address_2": "SUITE 105",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543036596",
            "telephone_number": "920-434-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 VELP AVE",
            "address_2": "SUITE 105",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543036596",
            "telephone_number": "920-434-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DITTY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "DITTY",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "920-434-2615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4204-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.