OrganizationActive
Wayne Mortensen DMD PC
NPI 1134885684 · Dental Clinic/Center · Boise, ID
Wayne Mortensen DMD PC is a Dental Clinic/Center organization in Boise, ID (NPI 1134885684).
Provider details
- NPI number
- 1134885684
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Wayne Mortensen, Dr/Owner(208) 853-3300
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9213 W State St
Boise, ID 83714-1737
Phone: (208) 853-3300
Street-level locationGet directions
Mailing address
9213 W State St
Boise, ID 83714-1737
Other names (DBA / former)
- Doing business as
- Smiles on State Street
Registry dates
- Enumerated
- 2021-11-09
- Last updated
- 2023-07-06
- Certified
- 2023-07-06
Frequently asked questions
- What is Wayne Mortensen DMD PC's NPI number?
- Wayne Mortensen DMD PC's National Provider Identifier (NPI) is 1134885684, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wayne Mortensen DMD PC?
- Wayne Mortensen DMD PC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Wayne Mortensen DMD PC located?
- Wayne Mortensen DMD PC's practice location on file with NPPES is 9213 W State St, Boise, ID 83714-1737.
- What is Wayne Mortensen DMD PC's phone number?
- The practice phone number listed in the NPPES registry for Wayne Mortensen DMD PC is (208) 853-3300.
- Who is the authorized official for Wayne Mortensen DMD PC?
- The authorized official listed on Wayne Mortensen DMD PC's NPPES record is Wayne Mortensen, Dr/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wayne Mortensen DMD PC's NPI active?
- Yes — Wayne Mortensen DMD PC's NPI (1134885684) is active in the NPPES registry as of the last update on 2023-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.