DR. WAYNE R PETERSON D.M.D.
NPI 1194803577
Dentist - General Practice in Boise, ID

Active since November 01, 2006
2427 N COLE RD, BOISE, ID 83704(208) 322-8877 Get Directions Write a Review

NPPES record last updated: February 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Wayne R Peterson D.m.d. NPPES

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

DR. WAYNE R PETERSON D.M.D. (NPI 1194803577) is an individual general practice provider in Boise, Idaho, licensed in Idaho (D-3654) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1194803577
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. WAYNE R PETERSONCredential: D.M.D.
Location Address2427 N COLE RDBoise, ID 83704-5907
Mailing Address3200 S Wadsworth Blvd Unit ELakewood, CO 80227-5010 · (303) 716-8546
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateFebruary 4, 2015
NPI 1194803577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in ID · D-3654
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2427 N COLE RD, Boise, ID 83704

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
2427 N COLE RD
BOISE, ID 83704
Nurse Practitioner (Family)
2427 N COLE RD
BOISE, ID 83704

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 Wayne Peterson's NPI number?

The NPI number for Wayne Peterson is 1194803577. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Wayne Peterson located?

Wayne Peterson practices at 2427 N Cole Rd, Boise, ID 83704. The listed phone number is (208) 322-8877.

What is Wayne Peterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Wayne Peterson accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Wayne Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wayne Peterson was last updated on February 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.