Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Chace Derrick Mickelson, D.M.D

Dentist in Coeur D Alene, ID · enumerated 2014.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184035115

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Registry record

Entity type Individual (Type 1)

Name Dr. Chace Derrick Mickelson

Credential D.M.D

Sex Male

Practice address 1090 W Park Pl, Suite B, Coeur D Alene, ID, 83814

Phone (208) 292-0303

Enumeration date May 13, 2014

Last updated in NPPES Aug 17, 2020

Taxonomy & licenses

122300000X Dentist Dental Providers · License 29854 (TX) Secondary

122300000X Dentist Dental Providers · License D-4605 (ID) Primary

DMD · Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1184035115 active?

Yes, as of the latest NPPES snapshot, NPI 1184035115 is active (record last updated 2020-08-17).

How do I verify Chace Mickelson's NPI record?

Cross-check NPI 1184035115 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-17.