DR. CHAD JORDAN GOLLAHER (DMD) – Pediatric Dentistry, NPI 1356795769

DR. CHAD JORDAN GOLLAHER (DMD) is a healthcare provider. based in American fork, Utah. specializing in Pediatric Dentistry. They hold the professional credentials DMD. They hold a License No. 10789138-9923 (UT). The NPI Number for DR. CHAD JORDAN GOLLAHER (DMD) is 1356795769

Main info

Male
Sole Proprietor
Name
DR. CHAD JORDAN GOLLAHER (DMD)
NPI
1356795769
Phone
(801) 756-6048
Address
148 S 1100 E
Enumeration Date
21 April 2016
Last Update Date
5 November 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for DR. CHAD JORDAN GOLLAHER (DMD)

  • 148 S 1100 E

    AMERICAN FORK, UT 840032817

    Phone: (801) 756-6048

    Type: Location

  • Children's Center, 79, West Alexandrine Street, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    DETROIT, MI 482012015

    Phone: (801) 473-9055

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $65.

Total Amount is formed as General ($65) + Research ($0) + Ownership ($0) = $65.

Last reported payment date: 2024-04-26 • Largest payer in this snapshot: Kulzer, LLC ($41).

Total Amount

$65

General + Research + Ownership

Payments

3

Total payment records

General Amount

$65

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Kulzer, LLC$41
KULZER, LLC$25
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-07-05

PECOS data refreshed: 2026-05-27

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84003)

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Reviews

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Frequently asked questions

What number should I use to identify DR. CHAD JORDAN GOLLAHER (DMD) for billing?
Administrative and clinical systems typically use NPI 1356795769 for DR. CHAD JORDAN GOLLAHER (DMD).
Is DR. CHAD JORDAN GOLLAHER (DMD)'s NPI status active today?
Active status means DR. CHAD JORDAN GOLLAHER (DMD)'s NPI record is not deactivated in the public file.
What type of care does DR. CHAD JORDAN GOLLAHER (DMD) provide?
DR. CHAD JORDAN GOLLAHER (DMD)'s profile centers on Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. CHAD JORDAN GOLLAHER (DMD)?
DR. CHAD JORDAN GOLLAHER (DMD) shows a connection to American Fork, Utah in registry-derived data.
Who maintains DR. CHAD JORDAN GOLLAHER (DMD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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