NPIMap

Organization Active NPI

David E Detwiler PC

  • Podiatrist
  • Forest, VA
National Provider Identifier
1174642771
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103000648 Issued in VA
Legal business name
DAVID E DETWILER PC
Practice address
101 Persimmon Way
Forest, VA 24551-1851
Phone
(434) 525-3045
NPI assigned
Mar 28, 2007
Last updated
Aug 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Authorized official

Name
David DetwilerNPI 1104997600
Title
Physician
Phone
(434) 525-3045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 0103000648 VA Primary

Addresses

Primary practice location

101 Persimmon Way
Forest, VA 24551-1851

Mailing address

101 Persimmon Way
Forest, VA 24551-1851
Phone (434) 525-3045

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1174642771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PERSIMMON WAY",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245511851",
            "telephone_number": "434-525-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PERSIMMON WAY",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245511851",
            "telephone_number": "434-525-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E DETWILER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "DETWILER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "434-525-3045"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103000648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.