Andrei Baskakov, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00203848 Issued in CO

Practice address

16981 E Quincy Ave # D1-D3
Aurora, CO 80015-2769

Phone

(303) 617-8400

NPI assigned

Jan 10, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Larimer Square Professional Dental Group LLC

  • General Practice Dentistry
  • Denver, CO
  • NPI 1952809964
  NPD (past)
• Quincy & Buckley Dental Group Professional LLC

  • General Practice Dentistry
  • Aurora, CO
  • NPI 1780924613
  NPD (past)

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1225501331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16981 E QUINCY AVE # D1-D3",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800152769",
            "telephone_number": "303-617-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16981 E QUINCY AVE # D1-D3",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800152769",
            "telephone_number": "303-617-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASKAKOV",
        "first_name": "ANDREI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00203848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Basak, M.D., PHD
• Deepashri Basavalingu, MD
• Sarah Kelly Bascand, NP
• Jennifer Basham, LCSW
• Taylor Bashore, APN
• Eric Thompson Basler, M.D.
• Jessica Bass
• Megan Elise Bass, PHARMD
• Ryli Bass
• Tawney Bass

• General Practice Dentistry in Aurora, CO
• Providers in Aurora, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.