DR. ETHAN D CHASE DMD
NPI 1720479892
Dentist - General Practice in Fort Defiance, AZ
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 and is a graduate of Boston Univ Goldman School Of Dental Medicine (1997).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Ethan D Chase Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ethan Chase reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Defiance, AZ 86504
- Reassigned Medicare billing, Texas enrollment
- 518 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
FORT DEFIANCE, AZ 86504
FORT DEFIANCE, AZ 86504
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 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.
Where is Ethan Chase located?
Ethan Chase practices at Corner Of Route N12 And N7, Fort Defiance, AZ 86504. The listed phone number is (928) 729-8000.
What is Ethan Chase's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Ethan Chase enrolled in Medicare?
Yes. Ethan Chase is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ethan Chase's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Chase reassigns Medicare benefits to The Fort Defiance Indian Hospital Board, Incorporation (Fort Defiance, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Chase's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ethan Chase accept?
Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Ethan Chase 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 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 11 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.
# Dr. Ethan D Chase, DMD · NPI 1720479892
General Practice provider in Fort Defiance, Arizona. Individual provider, active in the CMS NPPES registry since February 11, 2015.
## Identity
- **NPI:** 1720479892 (Entity type: Individual)
- **Enumerated:** February 11, 2015
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 04893 (New Hampshire)
- **Sole proprietor:** No
## Practice location
- **Address:** CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504
- **Phone:** (928) 729-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** The Fort Defiance Indian Hospital Board, Incorporation (NPI 1477876639, Fort Defiance, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Boston Univ Goldman School Of Dental Medicine, class of 1997
## Record status
- **NPPES last updated:** December 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1720479892) · Data from the CMS NPPES public registry.