NPIMap

Individual provider Active NPI

Nathan Daniel Bascom, DO

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Westminster, CO
National Provider Identifier
1477048288
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
20A17978 Issued in CA
Practice address
500 W 144TH Ave Ste 230
Westminster, CO 80023-9328
Phone
(303) 665-2603
NPI assigned
Jun 25, 2018
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X 20A17978 CA
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 20A17978 CA Primary

Addresses

Primary practice location

500 W 144TH Ave Ste 230
Westminster, CO 80023-9328

Mailing address

10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (858) 554-7993

Other practice location 1

10710 N Torrey Pines Rd
LA Jolla, CA 92037-1035
Phone (858) 554-7993

Other practice location 2

147 N Brent St
Ventura, CA 93003-2809
Phone (805) 652-5672

Other practice location 3

8101 E Lowry Blvd Ste 120
Denver, CO 80230-7195
Phone (720) 865-6072

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240724003522 CO Practitioner - Orthopedic Surgery 8123487675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Ohio University, College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 W 144TH Ave
230 Cornerstone
Westminster, CO 80023-9328
Phone (303) 665-2603

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement21
Knee replacement27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A17978CAMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Centers of Colorado, LLC Orthopaedic Surgery CurrentSince Sep 1, 2024 Accepting new patients
Orthopedic Centers of Colorado, LLC Orthopaedic Surgery CurrentSince Sep 1, 2024 Accepting new patients

Locations

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

3 Superior Dr
Ste 225
Superior, CO 80027
Phone (303) 414-2083

500 W 144th Ave
Ste 230
Westminster, CO 80023
Phone 3036652603 ext. 223

3455 Lutheran Pkwy
Ste 105
Wheat Ridge, CO 80033
Phone (303) 456-6000

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1477048288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10790 RANCHO BERNARDO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275705",
            "telephone_number": "858-554-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 144TH AVE STE 230",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800239328",
            "telephone_number": "303-665-2603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10710 N Torrey Pines Rd",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371035",
            "country_code": "US",
            "telephone_number": "858-554-7993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "147 N Brent St",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930032809",
            "country_code": "US",
            "telephone_number": "805-652-5672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8101 E Lowry Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802307195",
            "country_code": "US",
            "telephone_number": "720-865-6072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASCOM",
        "first_name": "NATHAN",
        "middle_name": "DANIEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A17978",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CA",
            "license": "20A17978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.