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Export Provider Record NPI 1275527111
Timothy DettmerM.D.
Active
NPI Number1275527111
NPI TypeNPI-1 Individual
SpecialtyOtolaryngology
Provider Details
NPI1275527111
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2005-09-07
Last Updated2024-01-09
Mailing Address250 S Crescent Dr
Mason City, IA 50401-2926
United States
Phone: (641) 494-5400 | Fax: (641) 494-5403
📍 View Map
Primary Practice Address250 S Crescent Dr
Mason City, IA 50401-2926
United States
Phone: (641) 494-5380 | Fax: (641) 494-5381
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Y00000X – OtolaryngologyIA35965
Export Provider Record NPI 1275527111
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About NPI 1275527111

Timothy Dettmer M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1275527111. The primary specialty listed is Otolaryngology. The provider is located in Mason City, IA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-09-07. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1275527111?

NPI 1275527111 belongs to Timothy Dettmer M.D., a Otolaryngology in Mason City, IA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1275527111 active?

The current status of NPI 1275527111 in the NPPES registry is Active. The record was last updated on 2024-01-09.

What specialty is NPI 1275527111?

NPI 1275527111 is classified under the taxonomy Otolaryngology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1275527111?

You can verify NPI 1275527111 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1275527111?

The primary practice address on file for NPI 1275527111 is 250 S Crescent Dr, Mason City, IA 50401-2926. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1275527111 issued?

NPI 1275527111 was first issued (enumerated) on 2005-09-07. The NPPES record was last updated on 2024-01-09.

Practice Location Map

Timothy Dettmer is located at 250 S Crescent Dr, Mason City, IA. Use the map below to find directions or verify the practice location.

📍 250 S Crescent Dr, Mason City, IA 50401-2926  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Timothy Dettmer. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1275527111. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Otolaryngology35965IA
Data Verified from CMS NPPES Last synced: 2026-07-30 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162