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KOALBY BROWN
NPI 1437641735
Dentist - General Practice in Boise, ID

Active since June 01, 2018
13219 W PERSIMMON LN, BOISE, ID 83713(208) 373-0018(208) 378-9676 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Koalby Brown NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOALBY BROWN (NPI 1437641735) is an individual general practice provider in Boise, Idaho, licensed in Idaho (D4924) and active in the NPI registry since June 2018. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437641735
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKOALBY BROWN
Location Address13219 W PERSIMMON LNBoise, ID 83713-1986
Mailing Address13219 W Persimmon LnBoise, ID 83713-1986 · (208) 373-0018 · Fax (208) 378-9676
Phone(208) 373-0018
Fax(208) 378-9676
Sole ProprietorYes
Enumeration DateJune 1, 2018
Last NPPES UpdateApril 30, 2026
NPPES CertifiedApril 30, 2026
✔ NPI 1437641735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · D4924
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
13219 W PERSIMMON LN, Boise, ID 83713
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Secondary Practice Locations 2

Location 1307 E Park St Ste 203McCall, ID 83638-5255 · Phone (208) 634-5255
Location 2120 N A StGrangeville, ID 83530-1211 · Phone (208) 983-1651

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

R ERIC BARNEY DDS
Dentist
13219 W PERSIMMON LN
BOISE, ID 83713
Ada County (208) 373-0018
BROOKDALE DENTAL, PA
Dentist (General Practice)
13219 W PERSIMMON LN
BOISE, ID 83713
Ada County (208) 373-0018

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Koalby Brown's NPI number?

The NPI number for Koalby Brown is 1437641735. It was assigned to this individual provider in the NPPES registry on June 1, 2018.

Where is Koalby Brown located?

Koalby Brown practices at 13219 W Persimmon Ln, Boise, ID 83713. The listed phone number is (208) 373-0018.

What is Koalby Brown's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Koalby Brown accept?

Health plans from Anthem Blue Cross and Blue Shield list Koalby Brown as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Koalby Brown was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.