NPI age
2 years
Enumerated 2023-09-26
● Active
Type 1 · Individual
Dane Vander Wall, ND
Vander Wall is 1 of 13 clinic/center providers in Boise and 1 of 36 in Idaho.
Primary specialty
Clinic/Center
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2023-09-26
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 36 active clinic/center providers in Idaho.
NPI age
2 years
↓ 13 yr below median (15 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
5% of peers hold subspecialties
NPI lifetime · 2023 → 2026
2023-09Enumerated in NPPES
2023
2026
Where they practice
Practice location
9757 W Arnold Rd
Boise, ID 837148210
Mailing address
9757 W Arnold Rd
Boise, ID 837148210
Specialties
-
Clinic/Center PrimaryAn 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...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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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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