NPIMap

Organization Active NPI

Elite Dental, Andrew E Skasko DDS, LLC

  • General Practice Dentistry
  • New Albany, OH
National Provider Identifier
1710997887
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21907 Issued in OH
Legal business name
ELITE DENTAL, ANDREW E SKASKO DDS, LLC
Practice address
5101 Forest Dr
Suite a
New Albany, OH 43054-8215
Phone
(614) 939-0400
Fax
(614) 939-0404
NPI assigned
Aug 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Andrew Emil Skasko, DDSNPI 1164752606
Title
President / Owner
Phone
(614) 939-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 21907 OH Primary

Addresses

Primary practice location

5101 Forest Dr
Suite a
New Albany, OH 43054-8215

Mailing address

5101 Forest Dr
Suite a
New Albany, OH 43054-8215
Phone (614) 939-0400

National Provider Directory

National Provider Directory

Locations

5101 Forest Dr
Ste A
New Albany, OH 43054
Phone (614) 939-0400

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710997887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 FOREST DR",
            "address_2": "SUITE A",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548215",
            "telephone_number": "614-939-0400",
            "fax_number": "614-939-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 FOREST DR",
            "address_2": "SUITE A",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548215",
            "telephone_number": "614-939-0400",
            "fax_number": "614-939-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DENTAL, ANDREW E SKASKO DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKASKO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "EMIL",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "614-939-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.