Individual provider Active NPI

Cary P. Basnar, D.D.S.

  • General Practice Dentistry
  • Fort Collins, CO
National Provider Identifier
1699773903
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
104958 Issued in CO
Practice address
702 W Drake Rd
BLDG. F, Ste. B
Fort Collins, CO 80526-5556
Phone
(970) 419-4711
Fax
(970) 419-4714
NPI assigned
Jul 11, 2005
Reactivated
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 104958 CO Primary

Addresses

Primary practice location

702 W Drake Rd
BLDG. F, Ste. B
Fort Collins, CO 80526-5556

Mailing address

702 W Drake Rd
BLDG. F, Ste. B
Fort Collins, CO 80526-5556
Phone (970) 419-4711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
104958COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699773903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 W DRAKE RD",
            "address_2": "BLDG. F, STE. B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265556",
            "telephone_number": "970-419-4711",
            "fax_number": "970-419-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W DRAKE RD",
            "address_2": "BLDG. F, STE. B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265556",
            "telephone_number": "970-419-4711",
            "fax_number": "970-419-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASNAR",
        "first_name": "CARY",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "104958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.