Individual provider Active NPI

Hailee Rask, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Salt Lake City, UT
National Provider Identifier
1366096208
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
11344038-9921 Issued in UT
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

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
DEN.00205781COMDOrthodontics and Dentofacial Orthopedic Dentist
11344038-9921UTMDOrthodontics 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.

Verify at the official NPI Registry.