NPIMap

Organization Active NPI

Granite Springs Dentistry, LLC

  • General Practice Dentistry
  • Cheyenne, WY
National Provider Identifier
1033476239
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1270 Issued in WY
Legal business name
GRANITE SPRINGS DENTISTRY, LLC
Practice address
2316 Dell Range Blvd
Cheyenne, WY 82009-5191
Phone
(720) 670-0798
NPI assigned
Apr 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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

Authorized official

Name
Dr. Merrill Bassett, DDSNPI 1083841167
Title
Owner
Phone
(720) 670-0798

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 1270 WY Primary

Addresses

Primary practice location

2316 Dell Range Blvd
Cheyenne, WY 82009-5191

Mailing address

2316 Dell Range Blvd
Cheyenne, WY 82009-5191
Phone (720) 670-0798

National Provider Directory

National Provider Directory

Locations

2316 Dell Range Blvd
Ste A
Cheyenne, WY 82009
Phone (307) 514-5177

2316 Dell Range Blvd
Cheyenne, WY 82009
Phone (307) 514-5177

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1033476239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 DELL RANGE BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820095191",
            "telephone_number": "720-670-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 DELL RANGE BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820095191",
            "telephone_number": "720-670-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE SPRINGS DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "BASSETT",
        "authorized_official_first_name": "MERRILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-670-0798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "1270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.