DR. CHAD JORDAN GOLLAHER DMD
NPI 1356795769
Dentist - Pediatric Dentistry in American Fork, UT

Active since April 21, 2016PECOS Enrolled
148 S 1100 E, AMERICAN FORK, UT 84003(801) 756-6048 Get Directions Write a Review

NPPES record last updated: November 5, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Chad Jordan Gollaher Dmd NPPES

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

DR. CHAD JORDAN GOLLAHER DMD (NPI 1356795769) is an individual pediatric dentistry provider in American Fork, Utah, licensed in Utah (10789138-9923) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356795769
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. CHAD JORDAN GOLLAHERCredential: DMD
Location Address148 S 1100 EAmerican Fork, UT 84003-2817
Mailing Address79 W Alexandrine StDetroit, MI 48201-2015 · (801) 473-9055
Sole ProprietorYes
Enumeration DateApril 21, 2016
Last NPPES UpdateNovember 5, 2018
NPI 1356795769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in UT · 10789138-9923
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

148 S 1100 E, American Fork, UT 84003

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Chad Jordan Gollaher 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Dentist (Pediatric Dentistry)
148 S 1100 E
AMERICAN FORK, UT 84003
Dentist (Pediatric Dentistry)
148 S 1100 E
AMERICAN FORK, UT 84003
Dentist (Pediatric Dentistry)
148 S 1100 E
AMERICAN FORK, UT 84003
Dermatology (MOHS-Micrographic Surgery)
148 S 1100 E
AMERICAN FORK, UT 84003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356795769, enumerated as an "individual" on April 21, 2016.

The provider is located at 148 S 1100 E AMERICAN FORK, UT 84003 and the phone number is (801) 756-6048.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.