DALTON DETTY DC
NPI 1295323004
Chiropractor in Lucedale, MS

Active since January 07, 2021
727 WINTER ST STE B, LUCEDALE, MS 39452(740) 701-2988 Get Directions Write a Review

NPPES record last updated: September 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 1, 2025, Jan 7, 2021 (2 updates tracked since 2021).

About Dalton Detty Dc NPPES

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

DALTON DETTY DC (NPI 1295323004) is an individual chiropractor in Lucedale, Mississippi, licensed in Mississippi (1419) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1295323004
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDALTON DETTYCredential: DC
Location Address727 WINTER ST STE BLucedale, MS 39452-5949
Mailing Address727 Winter St Ste BLucedale, MS 39452-5949 · (740) 701-2988
Sole ProprietorNo
Enumeration DateJanuary 7, 2021
Last NPPES UpdateSeptember 1, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2025
✔ NPI 1295323004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MS · 1419
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.
727 WINTER ST STE B, Lucedale, MS 39452

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dalton Detty Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Dalton Detty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
727 WINTER ST STE B
Lucedale, MS 39452
  • Reassigned Medicare billing, Mississippi enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
60 services12 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
727 WINTER ST STE B
LUCEDALE, MS 39452

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 Dalton Detty's NPI number?

The NPI number for Dalton Detty is 1295323004. It was assigned to this individual provider in the NPPES registry on January 7, 2021.

Where is Dalton Detty located?

Dalton Detty practices at 727 Winter St Ste B, Lucedale, MS 39452. The listed phone number is (740) 701-2988.

What is Dalton Detty's specialty?

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

Is Dalton Detty enrolled in Medicare?

Yes. Dalton Detty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dalton Detty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dalton Detty reassigns Medicare benefits to Lucedale Chiropractic LLC (Lucedale, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dalton Detty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dalton Detty accept?

Health plans from Blue Cross and Blue Shield of Texas list Dalton Detty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dalton Detty was last updated on September 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.