NPI age
13 years
Enumerated 2013-01-22
● Active Type 2 · Organization
Clearwater Gastroenterology
Clearwater Gastroenterology is 1 of 305 specialist organizations in Idaho.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dettwiler
M.D.
Last NPPES update
2013-01-22
Source: monthly bulk 2026-05
How this organization compares
Across 305 active specialist providers in Idaho.
NPI age
13 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-01Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
2517 17th St, Suite B
Lewiston, ID 835016311
Mailing address
2517 17th St, Suite B
Lewiston, ID 835016311
Authorized official
Carl Ray Dettwiler, M.D.
M.D.
📞 2087434373
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Jonathan Nash, DDS Dentist NPI 1992813182
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.
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Provyx · Custom healthcare lists
Need all 305 Specialist providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.