NPI age
20 years
Enumerated 2005-10-17
● Active
Type 1 · Individual
Carl Ray Dettwiler, MD
Dettwiler is 1 of 13 specialist providers in Lewiston and 1 of 305 in Idaho.
Primary specialty
Specialist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 305 active specialist providers in Idaho.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-10Enumerated in NPPES
2005
2026
Where they practice
Practice location
2517 17th Sreet, Suite B
Lewiston, ID 835010001
Mailing address
2517 17th St, Suite B
Lewiston, ID 835016311
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 806979100 |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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