Individual provider Active NPI

Kenneth Leonard Kaskie

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1871999490
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
004992 Issued in GA
Practice address
1186 Indian Hills Pkwy
Marietta, GA 30068-2550
Phone
(770) 789-6942
NPI assigned
Nov 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 004992 GA Primary

Addresses

Primary practice location

1186 Indian Hills Pkwy
Marietta, GA 30068-2550

Mailing address

1186 Indian Hills Pkwy
Marietta, GA 30068-2550
Phone (770) 789-6942

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
004992GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Recovery Therapy LLC Chiropractor Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1871999490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 INDIAN HILLS PKWY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682550",
            "telephone_number": "770-789-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 INDIAN HILLS PKWY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682550",
            "telephone_number": "770-789-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASKIE",
        "first_name": "KENNETH",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-10",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "004992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.

Verify at the official NPI Registry.