Individual provider Active NPI

Richard Keith Bassett, DO

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Prescott, AZ
National Provider Identifier
1245473537
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
006432 Issued in AZ
Practice address
1223 Willow Creek Rd
Prescott, AZ 86301-1427
Phone
(928) 777-9950
Fax
(928) 777-9975
NPI assigned
Apr 16, 2009
Last updated
Sep 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 006432 AZ
Orthopaedic Surgery Physician 207X00000X 006432 AZ
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 006432 AZ Primary

Addresses

Primary practice location

1223 Willow Creek Rd
Prescott, AZ 86301-1427

Mailing address

1223 Willow Creek Rd
Prescott, AZ 86301-1427
Phone (928) 777-9950

Other practice location 1

18444 N 25th Ave
Ste 310
Phoenix, AZ 85023-1266
Phone (623) 537-5600

Other identifiers 1

IdentifierTypeStateIssuer
913882MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140804001436 AZ Practitioner - Orthopedic Surgery 4486871118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granite Orthopaedics PLLCGroup PAC ID 6305025669, 12 clinicians

Practice addresses (Care Compare)

1223 Willow Creek Rd
Prescott, AZ 86301-1427
Phone (928) 777-9950

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement95
Knee replacement131
Lower limb (leg) arthroscopy (minimally invasive joint repair)45
Upper limb (arm) arthroscopy (minimally invasive joint repair)80

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
006432AZMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Granite Orthopaedics, PLLC Orthopaedic Surgery CurrentSince Jul 1, 2015 Accepting new patients
Granite Orthopaedics, PLLC Specialist CurrentSince Jul 1, 2015 Accepting new patients

Locations

1223 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-3055

3195 Stillwater Dr
Ste D
Prescott, AZ 86305
Phone (928) 443-9753

2960 N Centre Ct
Prescott Valley, AZ 86314
Phone (928) 777-9950

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1245473537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011427",
            "telephone_number": "928-777-9950",
            "fax_number": "928-777-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011427",
            "telephone_number": "928-777-9950",
            "fax_number": "928-777-9975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18444 N 25th Ave",
            "address_2": "Ste 310",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850231266",
            "country_code": "US",
            "telephone_number": "623-537-5600",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASSETT",
        "first_name": "RICHARD",
        "middle_name": "KEITH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-16",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "006432",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "006432",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "AZ",
            "license": "006432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "913882",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.