Active NPI
Cheyenne Orthopaedics, PC
- Orthopaedic Surgery Physician
- Cheyenne, WY
National Provider Identifier
1386639797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jean D Basta, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB4786 | Other | WY | RAILROAD MEDICARE |
| 0070700I | Other | WY | BLUE CROSS BLUE SHIELD |
| 109750400 | Medicaid | WY | |
| 82001A001 | Other | WY | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.
-
- Orthopaedic Surgery Physician
- Cheyenne, WY
- NPI 1104811504
-
- Orthopaedic Surgery Physician
- Cheyenne, WY
- NPI 1902891310
-
- Orthopaedic Surgery Physician
- Cheyenne, WY
- NPI 1477548881
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
- Cheyenne Ocular Surgery (Cheyenne Eye Surgery)
- Cheyenne Ocular Surgery (Cheyenne Eye Surgery)
- Cheyenne Opco LLC
- Cheyenne Operations LLC (Life Care Center of Cheyenne)
- Cheyenne Oral & Maxillofacial Surgery Associates, L.L.C
- Cheyenne Periodontics, PC
- Cheyenne Physical Therapy
- Cheyenne Radiology Group
- Cheyenne Regional Home Home Care Services
- Cheyenne Regional Medical Center
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.