Organization Active NPI

Cheyenne Orthopaedics, PC

  • Orthopaedic Surgery Physician
  • Cheyenne, WY
National Provider Identifier
1386639797
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CHEYENNE ORTHOPAEDICS, PC
Practice address
5320 Education Dr
Cheyenne, WY 82009-4058
Phone
(307) 632-9261
Fax
(307) 634-9170
NPI assigned
Sep 13, 2005
Last updated
Mar 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Jean D Basta, MDNPI 1104811504
Title
Partner
Phone
(307) 263-1773

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary
Body Imaging Physician 2085B0100X NU
Diagnostic Radiology Physician 2085R0202X NU

Addresses

Primary practice location

5320 Education Dr
Cheyenne, WY 82009-4058

Mailing address

5320 Education Dr
Cheyenne, WY 82009-4058
Phone (307) 632-9261

Other identifiers 4

IdentifierTypeStateIssuer
CB4786OtherWYRAILROAD MEDICARE
0070700IOtherWYBLUE CROSS BLUE SHIELD
109750400MedicaidWY
82001A001OtherWYTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031112000167 WY Part B Supplier - Clinic/Group Practice 0941113229 Receives reassigned benefits from 3 practitioners
Practice locations: Cheyenne, WY

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.526002

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": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1386639797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 EDUCATION DR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094058",
            "telephone_number": "307-632-9261",
            "fax_number": "307-634-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 EDUCATION DR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094058",
            "telephone_number": "307-632-9261",
            "fax_number": "307-634-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE ORTHOPAEDICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "BASTA",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "307-263-1773",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB4786",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0070700I",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109750400",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "82001A001",
            "state": "WY"
        }
    ],
    "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 Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.