Richard Detwiler, M.D., Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G31263 Issued in CA

Legal business name

RICHARD DETWILER, M.D., INC

Practice address

941 Spring St
Ste 1
Placerville, CA 95667-4546

Phone

(775) 747-5050

Fax

(775) 747-5005

NPI assigned

May 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Detwiler, M.D.

Title

Owner

Phone

(530) 622-1397

Specialties & licenses 1

Addresses

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.

• Dennis James Moore, D.C.

  • Chiropractor
  • San Jose, CA
  • NPI 1093825481
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649489857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334120",
            "telephone_number": "775-747-5050",
            "fax_number": "775-747-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 SPRING ST",
            "address_2": "STE 1",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674546",
            "telephone_number": "775-747-5050",
            "fax_number": "775-747-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD DETWILER, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DETWILER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-622-1397",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G31263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William George Reust
• Deena Lee Reyes
• John Edward Reyes, MSW
• Vanessah Lou Rhodus, PHARMD
• Reginald Dietel Rice Jr., M.D.
• Jonathan W Rick, MD
• Emilie Beth Riddle, MD
• Nicole Riley, CADC II, BSW, MSW
• Azucena Rivera, LVN
• Robert E Anderson DDS a Professional Dental Corp

• Surgery Physician in Placerville, CA
• Providers in Placerville, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.