Individual provider Active NPI

David F. Dettmann, PH.D.

  • Rehabilitation Psychologist
  • Knoxville, IA
National Provider Identifier
1760430672
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
License
00514 Issued in IA
Practice address
1515 W Pleasant St
(116B)
Knoxville, IA 50138-3354
Phone
(641) 842-3101
Fax
(641) 828-5307
NPI assigned
May 4, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 00514 IA
Psychologist 103T00000X 00514 IA
Adult Development & Aging Psychologist 103TA0700X 00514 IA
Cognitive & Behavioral Psychologist 103TB0200X 00514 IA
Counseling Psychologist 103TC1900X 00514 IA
Health Service Psychologist 103TH0100X 00514 IA
Group Psychotherapy Psychologist 103TP2701X 00514 IA
Rehabilitation Psychologist 103TR0400X 00514 IA Primary

Addresses

Primary practice location

1515 W Pleasant St
(116B)
Knoxville, IA 50138-3354

Mailing address

122 Bluegill CT
Pella, IA 50219-7513
Phone (641) 627-5097

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)
Not enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760430672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BLUEGILL CT",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502197513",
            "telephone_number": "641-627-5097",
            "fax_number": "641-828-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W PLEASANT ST",
            "address_2": "(116B)",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501383354",
            "telephone_number": "641-842-3101",
            "fax_number": "641-828-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETTMANN",
        "first_name": "DAVID",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IA",
            "license": "00514",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "00514",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "IA",
            "license": "00514",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "IA",
            "license": "00514",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IA",
            "license": "00514",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IA",
            "license": "00514",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "IA",
            "license": "00514",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "IA",
            "license": "00514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.