DR. JON MICHAEL KOELTL D.D.S.
NPI 1477672533
Dentist - General Practice in Boise, ID

Q: What is Jon Koeltl's NPI number?

The NPI number for Jon Koeltl is 1477672533. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Q: What is Jon Koeltl's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jon Koeltl was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since March 28, 2007

12349 W MCMILLAN RD, BOISE, ID 83713(208) 322-1112(208) 322-3928 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Dr. Jon Michael Koeltl D.d.s. NPPES

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

DR. JON MICHAEL KOELTL D.D.S. (NPI 1477672533) is an individual general practice provider in Boise, Idaho, licensed in Idaho (D-5228) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1477672533

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JON MICHAEL KOELTLCredential: D.D.S.

Location Address12349 W MCMILLAN RDBoise, ID 83713-5052

Mailing Address12349 W Mcmillan RdBoise, ID 83713-5052 · (208) 322-1112 · Fax (208) 322-3928

Phone(208) 322-1112

Fax(208) 322-3928

Sole ProprietorYes

Enumeration DateMarch 28, 2007

Last NPPES UpdateApril 29, 2025

NPPES CertifiedApril 29, 2025

✔ NPI 1477672533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in ID · D-5228✔ Licensed in CA · 47744

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.

12349 W MCMILLAN RD, Boise, ID 83713

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HRI Dental & Vision, Paramount.Insurance ›

Other Providers at the Same Location NPPES

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

JON KOELTL DDS, PC

Clinic/Center (Dental)

12349 W MCMILLAN RD
BOISE, ID 83713

Ada County (208) 322-1112

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 Jon Koeltl's NPI number?

The NPI number for Jon Koeltl is 1477672533. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Jon Koeltl located?

Jon Koeltl practices at 12349 W Mcmillan Rd, Boise, ID 83713. The listed phone number is (208) 322-1112.

What is Jon Koeltl's specialty?

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

What insurance does Jon Koeltl accept?

Health plans from Anthem Blue Cross and Blue Shield, HRI Dental & Vision and Paramount list Jon Koeltl 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 Jon Koeltl was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.