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CHASE THOMAS GUNDERSEN DMD
NPI 1114854858
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since May 06, 2026PECOS Enrolled
550 UNIVERSITY BLVD STE 3145, INDIANAPOLIS, IN 46202(317) 274-5315 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chase Thomas Gundersen Dmd NPPES

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

CHASE THOMAS GUNDERSEN DMD (NPI 1114854858) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in Indiana (12014966A) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114854858
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHASE THOMAS GUNDERSENCredential: DMD
Location Address550 UNIVERSITY BLVD STE 3145Indianapolis, IN 46202-5149
Mailing Address868 W 4230 NPleasant Grove, UT 84062-8737 · (801) 458-8226
Phone(317) 274-5315
Sole ProprietorNo
Enumeration DateMay 6, 2026
NPPES CertifiedMay 6, 2026
✔ NPI 1114854858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IN · 12014966A
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
550 UNIVERSITY BLVD STE 3145, Indianapolis, IN 46202
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chase Thomas Gundersen Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

TIN NGHIA CAO
Dentist
550 UNIVERSITY BLVD STE 3145
INDIANAPOLIS, IN 46202
Marion County (317) 274-5315
EVELYN BROWN
Student in an Organized Health Care Education/Training Program
550 UNIVERSITY BLVD STE 3145
INDIANAPOLIS, IN 46202
Marion County (317) 274-5315

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 Chase Gundersen's NPI number?

The NPI number for Chase Gundersen is 1114854858. It was assigned to this individual provider in the NPPES registry on May 6, 2026.

Where is Chase Gundersen located?

Chase Gundersen practices at 550 University Blvd Ste 3145, Indianapolis, IN 46202. The listed phone number is (317) 274-5315.

What is Chase Gundersen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Chase Gundersen enrolled in Medicare?

Yes. Chase Gundersen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chase Gundersen was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.