NPIMap

Individual provider Active NPI

William Henry Detar, DO

  • Otolaryngology Physician
  • Salida, CO
National Provider Identifier
1497311435
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
O-1494 Issued in ID
Practice address
1000 Rush Dr
Salida, CO 81201-9627
Phone
(719) 530-2200
Fax
(719) 539-5068
NPI assigned
May 15, 2019
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X DR.0074386 CO
General Practice Physician 208D00000X O-1494 ID
Otolaryngology Physician 207Y00000X O-1494 ID Primary

Addresses

Primary practice location

1000 Rush Dr
Salida, CO 81201-9627

Mailing address

3551 Roger Brooke Dr
San Antonio, TX 78234-4504
Phone (210) 292-5077

Other practice location 1

1218 S Pueblo Blvd
Pueblo, CO 81005-1593
Phone (719) 542-1803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241114003550 ID Practitioner - Otolaryngology 3577925163 Reassigns benefits to 2 organizations
I20251031000046 CO Practitioner - Otolaryngology 3577925163 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenwood Ear Nose and Throat Specialists PCGroup PAC ID 9436048766, 2 clinicians
Salida Hospital DistrictGroup PAC ID 3577451152, shared by 9 NPIs, 100 clinicians
St Josephs Ear Nose and Throat Clinic PLLCGroup PAC ID 5597796755, 9 clinicians

Practice addresses (Care Compare)

1619 N Greenwood St
Suite 309
Pueblo, CO 81003-2657
Phone (719) 544-7115

28374 County Rd
Buena Vista, CO 81211-9158
Phone (719) 395-9048

849 N Syringa St
Post Falls, ID 83854-8794
Phone (208) 777-1320

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DR.0074386COMDOtolaryngology Physician
O-1494IDMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kootenai Health, Inc. Current Accepting new patients
Kootenai Health, Inc. CurrentSince Feb 17, 2025 Accepting new patients
Kootenai Health, Inc. CurrentSince Feb 17, 2025 Accepting new patients
Greenwood Ear Nose & Throat Specialists PC Otolaryngology CurrentSince Sep 1, 2025 Accepting new patients
St Josephs Ear Nose and Throat Clinic PLLC CurrentSince Sep 23, 2024 Accepting new patients
Poudre Valley Medical Group, LLC General Practice Past Accepting new patients

Locations

1619 N Greenwood St
Ste 309
Pueblo, CO 81003
Phone (719) 544-7115

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

2288 N Merritt Creek Loop
Ste 100
Coeur D Alene, ID 83814
Phone (208) 215-2284

849 N Syringa St
Post Falls, ID 83854
Phone (208) 777-1320

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1497311435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-292-5077",
            "fax_number": "210-292-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 RUSH DR",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812019627",
            "telephone_number": "719-530-2200",
            "fax_number": "719-539-5068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1218 S Pueblo Blvd",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810051593",
            "country_code": "US",
            "telephone_number": "719-542-1803",
            "fax_number": "719-542-1807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DETAR",
        "first_name": "WILLIAM",
        "middle_name": "HENRY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-15",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "DR.0074386",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ID",
            "license": "O-1494",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "ID",
            "license": "O-1494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salida, CO

Sources for this page

Verify at the official NPI Registry.