Individual provider Active NPI

Dallin Isaac Bassett, OD

  • Optometrist
  • Englewood, CO
National Provider Identifier
1609447762
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003679 Issued in CO
Practice address
6501 E Belleview Ave Ste 140
Englewood, CO 80111-6020
Phone
(303) 202-0669
NPI assigned
Jul 8, 2021
Last updated
Jul 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003679 CO Primary

Addresses

Primary practice location

6501 E Belleview Ave Ste 140
Englewood, CO 80111-6020

Mailing address

16678 E Prentice Ave
Centennial, CO 80015-4122
Phone (832) 613-1096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221018001816 CO Practitioner - Optometry 9436525334 Reassigns benefits to 2 organizations
I20241114000096 NM Practitioner - Optometry 9436525334

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eyecare Durango PLLCGroup PAC ID 5193882009, 3 clinicians

Practice addresses (Care Compare)

1165 S Camino del Rio
Suite 100
Durango, CO 81303-6824
Phone (970) 247-8762

121 S Main Ave
Aztec, NM 87410-2120
Phone (505) 333-7278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dallin Bassett OD LLC Optometrist CurrentSince Oct 22, 2024 Accepting new patients

Locations

121 S Main Ave
Aztec, NM 87410
Phone (505) 333-7278

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.

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1609447762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16678 E PRENTICE AVE",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800154122",
            "telephone_number": "832-613-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 E BELLEVIEW AVE STE 140",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801116020",
            "telephone_number": "303-202-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSETT",
        "first_name": "DALLIN",
        "middle_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.