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Deactivated NPI 1184692055 Deactivated / Inactive NPI Male Practitioner

Dr. Kevin Scott Ditinick , DC

Chiropractor • Cocoa, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kevin Ditinick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 08, 2006
NPI Deactivation Date January 26, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Ditinick, DC was a registered Chiropractor practicing in Cocoa, FL. Throughout an active medical career spanning 15 years, Dr. Ditinick provided care at the practice location at 970 N COCOA BLVD until profile deactivation on 2021-01-26.

Practice Location & Contact Primary Location

Practice Address

970 N Cocoa Blvd

Cocoa, FL 329227586

Telephone 3216320003
Fax 3216321432

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Cocoa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Cocoa, FL (7309 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License FL CH4127

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1952379448

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 26, 2021

Record deactivated on January 26, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 970 N COCOA BLVD, COCOA, FL 329227586 (Tel: 3216320003)

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Updated Business Mailing Address July 08, 2007

Registered at 970 N COCOA BLVD, COCOA, FL 329227586 (Tel: 3216320003)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KEVIN DITINICK, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #CH4127 in FL)

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Initial NPI Registration & Enumeration March 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184692055
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2006
Last Update: July 08, 2007
Deactivation Date: January 26, 2021

Mailing Address

970 N Cocoa Blvd

Cocoa, FL 329227586

Phone: 3216320003

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.