Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922277599 Individual Practitioner Female Practitioner

Dr. Traci Susanne Pennock , DC

Chiropractor • Middletown, OH

Professional Overview & Biography Verified Profile Summary

Dr. Traci Pennock, DC is a registered healthcare professional specializing in Chiropractor in Middletown, OH. Practice services are available at 6730 ROOSEVELT AVE STE 205 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6730 Roosevelt Ave Ste 205

Middletown, OH 450055743

Telephone 5135970605

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Middletown, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.8 Yrs
State Avg: 24.4 Yrs
Regional Practice Density
13 Specialists

Practicing in Middletown, OH (2830 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

CMS Verified: 2023-08-29
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License OH 3471

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2852720 (OH)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 29, 2023

Registered at 6730 ROOSEVELT AVE STE 205, MIDDLETOWN, OH 450055743 (Tel: 5135970605)

📍
Updated Business Mailing Address August 29, 2023

Registered at 6730 ROOSEVELT AVE STE 205, MIDDLETOWN, OH 450055743 (Tel: 5135970605)

NPI Profile Active October 31, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 31, 2013

Registered at 4410 CARVER WOODS DR, SUITE 202, BLUE ASH, OH 452425525 (Tel: 5135300232)

📍
Updated Business Mailing Address October 31, 2013

Registered at 4410 CARVER WOODS DR, SUITE 202, BLUE ASH, OH 452425525 (Tel: 5135300232)

👤
Provider Name / Credentials Updated October 31, 2013

Recorded as TRACI PENNOCK, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2013

Chiropractor (License #3471 in OH)

🟢
Initial NPI Registration & Enumeration February 27, 2008

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: 1922277599
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2008
Last Update: August 29, 2023
Sole Proprietor: No

Mailing Address

6730 Roosevelt Ave Ste 205

Middletown, OH 450055743

Phone: 5135970605

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.