OrganizationActive
Lake Tahoe Orthopaedic Institute
NPI 1164671798 · Durable Medical Equipment & Medical Supplies · Incline Village, NV
Provider details
- NPI number
- 1164671798
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Stephen Bannar, President(530) 541-3100
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
925 Tahoe Blvd Ste 105
Incline Village, NV 89451-7498
Phone: (775) 580-7600
Fax: (775) 831-7336
Street-level locationGet directions
Mailing address
1111 Emerald Bay Rd
South Lake Tahoe, CA 96150-6207
Other names (DBA / former)
- Other name
- Dme - Incline Village
Registry dates
- Enumerated
- 2008-09-18
- Last updated
- 2012-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.