DANE VANDER WALL ND
NPI 1053190348
Clinic/Center - Medical Specialty in Boise, ID

Q: What is Dane Vander Wall's NPI number?

The NPI number for Dane Vander Wall is 1053190348. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Q: What is Dane Vander Wall's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Q: When was this NPI record last updated?

The NPPES record for Dane Vander Wall was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 26, 2023

9757 W ARNOLD RD, BOISE, ID 83714(720) 220-5331 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dane Vander Wall Nd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANE VANDER WALL ND (NPI 1053190348) is an individual medical specialty provider in Boise, Idaho and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1053190348

Entity TypeIndividualMale

Primary Taxonomy261QM2500X

Provider Legal NameDANE VANDER WALLCredential: ND

Location Address9757 W ARNOLD RDBoise, ID 83714-8210

Mailing Address9757 W Arnold RdBoise, ID 83714-8210 · (720) 220-5331

Phone(720) 220-5331

Sole ProprietorYes

Enumeration DateSeptember 26, 2023

NPPES CertifiedSeptember 26, 2023

✔ NPI 1053190348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

9757 W ARNOLD RD, Boise, ID 83714

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dane Vander Wall's NPI number?

The NPI number for Dane Vander Wall is 1053190348. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Where is Dane Vander Wall located?

Dane Vander Wall practices at 9757 W Arnold Rd, Boise, ID 83714. The listed phone number is (720) 220-5331.

What is Dane Vander Wall's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Dane Vander Wall was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.