Jeremiah Brown, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-4747 Issued in ID

Practice address

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

Phone

(208) 369-2255

Fax

(208) 369-2256

NPI assigned

Jul 10, 2015

Last updated

Jul 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Jeremy Brown DMD PA

  dba Boise Dental Arts

  • Dental Clinic/Center
  • Boise, ID
  • NPI 1285328195
  NPD Authorized official

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1811371644",
    "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": [
        {
            "address_1": "103 N Brentwood Ste 400",
            "address_purpose": "LOCATION",
            "city": "Lufkin",
            "state": "TX",
            "postal_code": "759047147",
            "country_code": "US",
            "telephone_number": "936-639-4867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JEREMIAH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-10",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-4747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric A. Brown, MASSAGE THERAPIST
• Evan R Brown
• Gail Brown, OTR
• Jakota Brown
• Jenna Brianne Brown, LMSW
• Kaitlyn Marie Brown, DPT
• Karla Brown, OT
• Katie Lynn Brown, LCSW
• Koalby Brown
• Krista Brown, RD, LD

• General Practice Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Dentistry 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.