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

Q: What is Chad Gollaher's NPI number?

The NPI number for Chad Gollaher is 1356795769. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Q: What is Chad Gollaher's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Chad Gollaher was last updated on November 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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 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: August 09, 2026.

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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

Phone(801) 756-6048

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

148 S 1100 E, American Fork, UT 84003

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.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.

SMITH AND MACDONALD PEDIATRIC DENTISTRY

Dentist (Pediatric Dentistry)

148 S 1100 E
AMERICAN FORK, UT 84003

Utah County (801) 756-6048

ROBERT BLAKE STEELE M.D.

Dermatology (MOHS-Micrographic Surgery)

148 S 1100 E
AMERICAN FORK, UT 84003

Utah County (386) 336-7461

JEREMIAH JORGENSEN P.A.

Physician Assistant

148 S 1100 E
AMERICAN FORK, UT 84003

Utah County (385) 336-7461

DAVID M MACDONALD DDS

Dentist (Pediatric Dentistry)

148 S 1100 E
AMERICAN FORK, UT 84003

Utah County (801) 756-6048

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 Chad Gollaher's NPI number?

The NPI number for Chad Gollaher is 1356795769. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Where is Chad Gollaher located?

Chad Gollaher practices at 148 S 1100 E, American Fork, UT 84003. The listed phone number is (801) 756-6048.

What is Chad Gollaher's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Chad Gollaher enrolled in Medicare?

Yes. Chad Gollaher is registered in the Medicare PECOS enrollment system.

What insurance does Chad Gollaher accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 12 other insurers list Chad Gollaher 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 Chad Gollaher was last updated on November 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.