Chase Larsen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9361973-9923 Issued in UT

Practice address

723 E 12200 S Ste 101
Draper, UT 84020-9885

Phone

(801) 683-5239

NPI assigned

Jun 26, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chase Larsen DMD PLLC

  dba Chase Inspired Dentistry

  • General Practice Dentistry
  • Draper, UT
  • NPI 1194322776
  NPD Authorized official
• Sugar House Dental Management LLC

  dba The Sugar House Dentist

  • General Practice Dentistry
  • Salt Lake City, UT
  • NPI 1578928172
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1023423258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 E 12200 S STE 101",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209885",
            "telephone_number": "801-683-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 E 12200 S STE 101",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209885",
            "telephone_number": "801-683-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "CHASE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D4591",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "9361973-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Lane
• Emily Allison Lang
• Lanores Nursing Home, Inc. (Draper Rehabilitation & Care Center)
• Christopher R Lapray, DPT, ATC
• Sarah L Larmore, LCSW
• Damien Larsen
• Malia Larsen
• Grace Jo Larson
• Emma Larue
• Laser and Refractive

• General Practice Dentistry in Draper, UT
• Providers in Draper, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.