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NPI · 1063846459 · NPPES-sourced

Randal Wilson DMD

ActiveDentist
NPI Number
1063846459
Type 1 · Individual
Taxonomy Code
122300000X
Contact
(208) 677-5198
License ID · D-4526
Last Updated
Enumerated
Primary practice addressID · 83318-2676
1309 Bennett AveBurley, ID 83318-2676
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Also known as

  • Also known asWilson, Todd

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1063846459 is registered to Randal Wilson DMD, a Dentist practising at 1309 Bennett Ave in Burley, Idaho. Dentist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Randal Wilson DMD has been enumerated in the National Provider Identifier (NPI) registry since 2013.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Order and Referring Only

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Randal Wilson DMD accepts. To confirm in-network status with your specific health plan, contact Randal Wilson DMD directly at (208) 677-5198.

Frequently asked

Yes. NPI 1063846459 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dentist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (208) 677-5198.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Randal Wilson DMD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy122300000X
Last updated
Enumerated
StatusActive
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2 records · same addressOther providers at this location.

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Same specialtyOther Dentist providers in Idaho.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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