Ethan Chase, DMD

ActiveIndividual ProviderDentistry
NPI issued: February 11, 2015

Quick Facts

NPI Number
1720479892
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223G0001X — Dentistry
Phone
(928) 729-8000
StateAZ

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1720479892)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (February 11, 2015)
Data source: CMS NPPES

Provider Overview

ETHAN CHASE, DMD is a Dentistry provider based in Fort Defiance, AZ who has been registered with CMS since 2015. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1720479892
Provider TypeIndividual Provider
GenderMale
CredentialDMD
StatusActive
Enumeration DateFebruary 11, 2015

Practice Location

CityFort Defiance
StateAZ
ZIP Code86504
Phone(928) 729-8000

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223G0001X
License StateAZ

Mailing Address

CityFort Defiance
StateAZ
ZIP Code86504
Phone(928) 729-8000
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1720479892 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1720479892for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

👤

For Patients

Share NPI 1720479892 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Dentistryproviders →
📊
174,905
Dentistry Providers in the US

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People Also Ask

What is Ethan Chase's NPI number?
Ethan Chase's NPI number is 1720479892, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Ethan Chase's NPI currently active?
Yes, Ethan Chase's NPI status is Active as of the latest CMS NPPES database updates.
What does Ethan Chase specialize in?
Ethan Chase specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223G0001X.
Where does Ethan Chase practice?
Ethan Chase practices in Fort Defiance, AZ 86504.
When was Ethan Chase's NPI issued?
Ethan Chase's NPI was issued on February 11, 2015.
What is Ethan Chase's provider type?
Ethan Chase is registered as an Individual Provider under CMS NPI Type 1.