Individual provider Active NPI

Dalton Detty, DC

  • Chiropractor
  • Lucedale, MS
National Provider Identifier
1295323004
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1419 Issued in MS
Practice address
727 Winter St Ste B
Lucedale, MS 39452-5949
Phone
(740) 701-2988
NPI assigned
Jan 7, 2021
Last updated
Sep 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1419 MS Primary

Addresses

Primary practice location

727 Winter St Ste B
Lucedale, MS 39452-5949

Mailing address

727 Winter St Ste B
Lucedale, MS 39452-5949
Phone (740) 701-2988

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Chirotouch Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1419MSMDChiropractor
4557SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lucedale Chiropractic LLC Chiropractor CurrentSince Sep 8, 2025 Accepting new patients

Locations

727 Winter St
Ste B
Lucedale, MS 39452
Phone (740) 701-2988

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1295323004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 WINTER ST STE B",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394525949",
            "telephone_number": "740-701-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 WINTER ST STE B",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394525949",
            "telephone_number": "740-701-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETTY",
        "first_name": "DALTON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-07",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Chirotouch",
            "affiliation": "N",
            "endpointDescription": "Chirotouch Soapnote",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1264 Ribaut Rd Ste 301",
            "city": "Beaufort",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299026128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lucedale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.