DR. ETHAN D CHASE DMD
NPI 1720479892
Dentist - General Practice in Fort Defiance, AZ

Q: What is Ethan Chase's NPI number?

The NPI number for Ethan Chase is 1720479892. It was assigned to this individual provider in the NPPES registry on February 11, 2015.

Q: What is Ethan Chase'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 Ethan Chase was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 February 11, 2015PECOS Enrolled

CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504(928) 729-8000 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Ethan D Chase Dmd NPPES

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

DR. ETHAN D CHASE DMD (NPI 1720479892) is an individual general practice provider in Fort Defiance, Arizona, licensed in New Hampshire (04893) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS, is affiliated with Choctaw Nation Health Services Authority, and is a graduate of Boston Univ Goldman School Of Dental Medicine (1997).

NPPES Registry Identity

NPI1720479892

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ETHAN D CHASECredential: DMD

Location AddressCORNER OF ROUTE N12 AND N7Fort Defiance, AZ 86504

Mailing AddressPo Box 649Fort Defiance, AZ 86504-0649 · (928) 729-8000

Phone(928) 729-8000

Sole ProprietorNo

Medical School CMSBoston Univ Goldman School Of Dental MedicineGraduated 1997

Enumeration DateFebruary 11, 2015

Last NPPES UpdateDecember 1, 2025

NPPES CertifiedDecember 1, 2025

✔ NPI 1720479892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in NH · 04893✔ Licensed in MA · 19348

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.

CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, 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. Ethan D Chase Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931406329

PECOS Enrollment IDI20260317003042

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Choctaw Nation Health Services Authority

Acute Care Hospitals · Talihina, OK

OwnershipTribal

CMS Certification Number370172

Location1 Choctaw WayTalihina, OK 74571 · Latimer County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86504 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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 20

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

DR. ROMULO LAURETA PARUNGAO M.D.

Emergency Medicine