LUCEDALE CHIROPRACTIC LLC
NPI 1598644650
Chiropractor in Lucedale, MS
About Lucedale Chiropractic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUCEDALE CHIROPRACTIC LLC (NPI 1598644650) is a healthcare organization registered as a chiropractor in Lucedale, Mississippi and active in the NPI registry since September 2025. The organization lists Dalton Detty, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lucedale Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lucedale Chiropractic LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Lucedale Chiropractic LLC's NPI number?
The NPI number for Lucedale Chiropractic LLC is 1598644650. It was assigned to this organization in the NPPES registry on September 1, 2025.
Where is Lucedale Chiropractic LLC located?
Lucedale Chiropractic LLC is located at 727 Winter St Ste B, Lucedale, MS 39452. The listed phone number is (740) 701-2988.
What is Lucedale Chiropractic LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Lucedale Chiropractic LLC enrolled in Medicare?
Yes. Lucedale Chiropractic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lucedale Chiropractic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Lucedale Chiropractic LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lucedale Chiropractic LLC 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.
# Lucedale Chiropractic Llc · NPI 1598644650
Chiropractor organization in Lucedale, Mississippi. Organization record, active in the CMS NPPES registry since September 1, 2025.
## Identity
- **NPI:** 1598644650 (Entity type: Organization)
- **Enumerated:** September 1, 2025
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Dalton Detty, OWNER
## Practice location
- **Address:** 727 WINTER ST STE B, Lucedale, MS 39452-5949
- **Phone:** (740) 701-2988
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1598644650) · Data from the CMS NPPES public registry.