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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Brandon Mark Wagner, DDS

General Practice Dentistry in Boise, ID · enumerated 2021 · practices at Morrell Dental.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265002901

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Registry record

Entity type Individual (Type 1)
Name Dr. Brandon Mark Wagner
Credential DDS
Sex Male
Practice address Boise, ID, 83702
Phone (208) 342-3440
Enumeration date Jun 25, 2021
Last updated in NPPES Sep 8, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1223G0001X General Practice Dentistry Dental Providers · License D-5306 (ID) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1265002901 active?
Yes, as of the latest NPPES snapshot, NPI 1265002901 is active (record last updated 2025-09-08).
How do I verify Brandon Wagner's NPI record?
Cross-check NPI 1265002901 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-08.