DR. TRACI SUSANNE PENNOCK D.C.
NPI 1922277599
Chiropractor in Middletown, OH

Q: What is Traci Pennock's NPI number?

The NPI number for Traci Pennock is 1922277599. It was assigned to this individual provider in the NPPES registry on February 27, 2008.

Q: What is Traci Pennock's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Traci Pennock was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 27, 2008

6730 ROOSEVELT AVE STE 205, MIDDLETOWN, OH 45005(513) 597-0605 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Traci Susanne Pennock D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TRACI SUSANNE PENNOCK D.C. (NPI 1922277599) is an individual chiropractor in Middletown, Ohio, licensed in Ohio (3471) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1922277599

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameDR. TRACI SUSANNE PENNOCKCredential: D.C.

Location Address6730 ROOSEVELT AVE STE 205Middletown, OH 45005-5743

Mailing Address6730 Roosevelt Ave Ste 205Middletown, OH 45005-5743 · (513) 597-0605

Phone(513) 597-0605

Sole ProprietorNo

Enumeration DateFebruary 27, 2008

Last NPPES UpdateAugust 29, 2023

NPPES CertifiedAugust 29, 2023

✔ NPI 1922277599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in OH · 3471

Definition

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.

6730 ROOSEVELT AVE STE 205, Middletown, OH 45005

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Other Identifiers 1

Medicaid2852720OH

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Traci Pennock's NPI number?

The NPI number for Traci Pennock is 1922277599. It was assigned to this individual provider in the NPPES registry on February 27, 2008.

Where is Traci Pennock located?

Traci Pennock practices at 6730 Roosevelt Ave Ste 205, Middletown, OH 45005. The listed phone number is (513) 597-0605.

What is Traci Pennock's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Traci Pennock was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.