Individual provider Active NPI

Dalton Matthew Gean, DC

  • Chiropractor
  • Pace, FL
National Provider Identifier
1548748924
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14570 Issued in FL
Practice address
4583 Watkins St
Pace, FL 32571-2511
Phone
(850) 910-4282
Fax
(850) 910-4287
NPI assigned
Jul 30, 2018
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3138 TN
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH14570 FL Primary

Addresses

Primary practice location

4583 Watkins St
Pace, FL 32571-2511

Mailing address

4583 Watkins St
Pace, FL 32571-2511
Phone (850) 910-4282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240401003104 FL Practitioner - Chiropractic 8022345511 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Modern Chiropractic of FloridaGroup PAC ID 4385042001, 2 clinicians

Practice addresses (Care Compare)

4583 Watkins St
Pace, FL 32571-2511
Phone (850) 910-4282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH14570FLMDChiropractor
3138TNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Bci Chiropractic LLC Chiropractor CurrentSince Feb 3, 2026 Accepting new patients
Modern Chiropractic of Florida Chiropractor CurrentSince Feb 25, 2024 Accepting new patients
Pensacola Nephrology, PA Single Specialty PastSince Feb 25, 2024 Accepting new patients

Locations

4583 Watkins St
Pace, FL 32571
Phone (850) 889-4152

100 N Richard Jackson Blvd
Ste 120B
Panama City Beach, FL 32407
Phone (850) 896-2713

Organizations & group practices 3

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": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1548748924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4583 WATKINS ST",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325712511",
            "telephone_number": "850-910-4282",
            "fax_number": "850-910-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4583 WATKINS ST",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325712511",
            "telephone_number": "850-910-4282",
            "fax_number": "850-910-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEAN",
        "first_name": "DALTON",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-30",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3138",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.