Dr Jeremy Brown DMD PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR JEREMY BROWN DMD PA

Doing business as

Boise Dental Arts

Practice address

9931 W Cable Car Ste 150
Boise, ID 83709-1269

Phone

(208) 369-2255

Fax

(208) 369-2256

NPI assigned

Jun 5, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeremiah Brown, DMDNPI 1811371644

Title

President

Phone

(208) 369-2255

Specialties & licenses 1

Addresses

Other names 1

• Boise Dental Arts Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremiah Brown, D.M.D.

  • General Practice Dentistry
  • Boise, ID
  • NPI 1811371644
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1285328195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9931 W CABLE CAR STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091269",
            "telephone_number": "208-369-2255",
            "fax_number": "208-369-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9931 W CABLE CAR STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091269",
            "telephone_number": "208-369-2255",
            "fax_number": "208-369-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JEREMY BROWN DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-369-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boise Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katelyn Doyle, OD
• Margaret Ellen Doyle, LCSW
• Megan Doyle, OTR/L
• Ryan K Doyle, D.D.S.
• Alma Dozier, RN
• Dr Lauren Baker Physical Therapy and Wellness LLC
• Dr. Farrell, LLC
• Dr. Kaci B. Jensen, PLLC
• Dr. Michael D. Rae, DC, PLLC
• Dr. Mick L. Tiegs, Inc., PS

• Dental Clinic/Center in Boise, ID
• Providers in Boise, ID by specialty
• Dental Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.