Healthcare Provider Details

I. General information

NPI: 1699491092
Provider Name (Legal Business Name): DAINA MARIE CHASE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2022
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 N HIGH ST STE 260
DENVER CO
80205-5575
US

IV. Provider business mailing address

2055 N HIGH ST STE 260
DENVER CO
80205-5575
US

V. Phone/Fax

Practice location:
  • Phone: 720-475-8730
  • Fax: 303-832-7297
Mailing address:
  • Phone: 720-475-8730
  • Fax: 303-832-7297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: