Marc David Ditty, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4204 Issued in WI

Practice address

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

Phone

(920) 434-2615

Fax

(920) 434-2615

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ditty Chiropractic, LLC

  • Chiropractor
  • Green Bay, WI
  • NPI 1245545136
  NPD (past) Authorized official
• C.S. Gonstead Chiropractic Foundation, Inc

  • Chiropractor
  • Mt. Horeb, WI
  • NPI 1629003017
  NPD (past)
• Planet Chiropractic LLC

  • Chiropractor
  • Green Bay, WI
  • NPI 1124173083
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279411200000",
    "number": "1912939711",
    "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",
            "fax_number": "920-434-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTY",
        "first_name": "MARC",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dimensions Living Green Bay, LLC
• Sarah Katherine Dimezza, MD
• Kirk D Dimitris, MD
• Izabela J Ditchen, MD
• Ditty Chiropractic, LLC
• Jacqueline DO, DO
• Abigail Dobbins, SLP
• Brian Dale Dobbins, MD
• Erin Dobson
• Joseph Robert Dobson, DO

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.