Individual provider Active NPI

Richard Chace Jr., DMD

  • Periodontics
  • Winter Park, FL
National Provider Identifier
1285630673
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN0005119 Issued in FL
Practice address
801 W Morse Blvd
Winter Park, FL 32789-3708
Phone
(407) 644-4404
Fax
(407) 628-3910
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DN0005119 FL Primary

Addresses

Primary practice location

801 W Morse Blvd
Winter Park, FL 32789-3708

Mailing address

801 W Morse Blvd
Winter Park, FL 32789-3708
Phone (407) 644-4404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN0005119FLMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Winter Park Periodontics and Implant Dentistry PLLC Periodontics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285630673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W MORSE BLVD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893708",
            "telephone_number": "407-644-4404",
            "fax_number": "407-628-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W MORSE BLVD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893708",
            "telephone_number": "407-644-4404",
            "fax_number": "407-628-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACE",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN0005119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.