Active NPI
Hailee Rask, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Salt Lake City, UT
National Provider Identifier
1366096208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 11344038-9921
- Practice address
- 1555 E Stratford Ave Ste 400
Salt Lake City, UT 84106-3692 - Phone
- (385) 500-7082
- NPI assigned
- Jul 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 11344038-9921 | UT | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DEN.00205781 | CO |
Addresses
Primary practice location
1555 E Stratford Ave Ste 400
Salt Lake City, UT 84106-3692
Mailing address
1960 E Claybourne Ave
Salt Lake City, UT 84106-4032
Phone (985) 507-3055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00205781 | CO | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 11344038-9921 | UT | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1366096208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1960 E CLAYBOURNE AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841064032",
"telephone_number": "985-507-3055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 E STRATFORD AVE STE 400",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841063692",
"telephone_number": "385-500-7082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASK",
"first_name": "HAILEE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-29",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "UT",
"license": "11344038-9921",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CO",
"license": "DEN.00205781",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.