Active NPI
Andrew Kaskie, DDS
- Dentist
- Wendover, UT
National Provider Identifier
1679359558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14187208-9926
- Practice address
- 399 Aria Blvd
Wendover, UT 84083-4550 - Phone
- (317) 385-3305
- NPI assigned
- Sep 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14187208-9926 | UT | Primary |
Addresses
Primary practice location
399 Aria Blvd
Wendover, UT 84083-4550
Mailing address
399 Aria Blvd
Wendover, UT 84083-4550
Phone (317) 385-3305
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 |
|---|---|---|---|
| 14187208-9926 | UT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ajk Dental Experience | Current | Accepting new patients | |
| Ajk Dental LLC | Current | Accepting new patients |
Locations
412 Edison St
Brush, CO 80723
Phone (970) 842-0220
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Wendover, UT
- NPI 1659196558
-
- Dental Clinic/Center
- Brush, CO
- NPI 1285475863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1679359558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "399 ARIA BLVD",
"city": "WENDOVER",
"state": "UT",
"postal_code": "840834550",
"telephone_number": "317-385-3305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 ARIA BLVD",
"city": "WENDOVER",
"state": "UT",
"postal_code": "840834550",
"telephone_number": "317-385-3305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASKIE",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-06",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "14187208-9926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wendover, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.