Organization Active NPI

Chase Larsen DMD PLLC

Doing business as Chase Inspired Dentistry

  • General Practice Dentistry
  • Draper, UT
National Provider Identifier
1194322776
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHASE LARSEN DMD PLLC
Doing business as
Chase Inspired Dentistry
Practice address
723 E 12200 S
Draper, UT 84020
Phone
(801) 859-5680
NPI assigned
Oct 6, 2020
Last updated
Jun 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Dr. Chase Michael Larsen, DMDNPI 1023423258
Title
Managing Member
Phone
(801) 859-5680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary
Periodontics 1223P0300X NU

Addresses

Primary practice location

723 E 12200 S
Draper, UT 84020

Mailing address

723 E 12200 S Ste 101
Draper, UT 84020-9885
Phone (801) 683-5239

Other names 1

  • Chase Inspired Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

723 E 12200 S
Draper, UT 84020
Phone (801) 859-5680

723 E 12200 S
Ste 101
Draper, UT 84020
Phone (801) 683-5239

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1194322776",
    "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",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "84020",
            "telephone_number": "801-859-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASE LARSEN DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "CHASE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "801-859-5680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chase Inspired Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Draper, UT

Sources for this page

  • 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.