Arthur W Detore, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

01035316A Issued in IN

Practice address

10501 Corporate Dr
Fort Wayne, IN 46845-1700

Phone

(260) 373-7009

Fax

(260) 373-7037

NPI assigned

Mar 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861516395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14118 WHISKEY CREEK DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468149510",
            "telephone_number": "260-373-7009",
            "fax_number": "260-373-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 CORPORATE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451700",
            "telephone_number": "260-373-7009",
            "fax_number": "260-373-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETORE",
        "first_name": "ARTHUR",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01035316A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Detar, RBT
• Hannah Kay Detmer
• Alyssa L. Detommaso, PA-C
• Dominick Detommaso, D.P.M.
• Jonathan Detommaso, DPM
• Rachael Dettling
• Jonathan Dettmer, PT
• Kristen Dettmer, PNP
• Robert Wayne Dettmer, M.D.
• Thomas Paul Dettmer, PSY.D

• Specialist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.