Active NPI
Richard Keith Bassett, DO
- Adult Reconstructive Orthopaedic Surgery Physician
- Prescott, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- 006432
- 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, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 913882 | Medicaid | AZ |
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
Enrollment records 1
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
Practice addresses (Care Compare)
1223 Willow Creek Rd
Prescott, AZ 86301-1427
Phone (928) 777-9950
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 95 |
| Knee replacement | 131 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 006432 | AZ | MD | Adult Reconstructive Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granite Orthopaedics, PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Granite Orthopaedics, PLLC | Specialist | Current | 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.
-
- Orthopaedic Surgery Physician
- Prescott, AZ
- NPI 1831408384
-
- Specialist
- Prescott Valley, AZ
- NPI 1942608351
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Arizona Specialty Hospital
- Special Hospital
- Phoenix, AZ
- NPI 1124163530
-
dba Yavapai Regional Medical Center
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.