Chase A Lundin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901601914 Issued in MI

Practice address

4450 W Walton Blvd
Waterford TWP, MI 48329-4093

Phone

(248) 600-5827

NPI assigned

Sep 20, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Matthew Paige DDS & Jason M Bressler DDS-Anchorage, LLC

  • General Practice Dentistry
  • Anchorage, AK
  • NPI 1992126486
  NPD (past)

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1821649864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 W WALTON BLVD",
            "city": "WATERFORD TWP",
            "state": "MI",
            "postal_code": "483294093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 W WALTON BLVD",
            "city": "WATERFORD TWP",
            "state": "MI",
            "postal_code": "483294093",
            "telephone_number": "248-600-5827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 E Parks Hwy Ste 209",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996548164",
            "country_code": "US",
            "telephone_number": "253-370-6653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4001 Lake Otis Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995085200",
            "country_code": "US",
            "telephone_number": "253-370-6653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDIN",
        "first_name": "CHASE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-20",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "147370",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147370",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lakeotisak@affordabledentalcare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4001 Lake Otis Pkwy Ste 200",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995085200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Drk2222@sbcglobal.net",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4450 W Walton Blvd",
            "city": "Waterford Twp",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483294093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Countryview Case Management LLC.
• Dental House - Waterford, PLLC
• Kelli Ford
• Sara Helmi
• Jason B Ingber, DDS
• Michel Jahmal Lundy, DDS
• Thanh Huu Phan, MD

• Dentist in Waterford TWP, MI
• Providers in Waterford TWP, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.