Lakeside Orthopedic Institute, LLC
NPI 1245965581 · Orthopaedic Surgery Physician · Bullhead City, AZ
Enrolled with Medicare as Dme Supplier - Multi-Specialty - Physician · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeside Orthopedic Institute, LLC is a Orthopaedic Surgery Physician organization in Bullhead City, AZ (NPI 1245965581).
Provider details
- NPI number
- 1245965581
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Heiner, Authorized Official(928) 505-5555
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Interventional Pain Medicine Physician208VP0014X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 3003 Highway 95 Ste 63Bullhead City, AZ 86442-7896Phone: (928) 505-5555Fax: (928) 505-5557
Registry dates
- Enumerated
- 2022-07-20
- Last updated
- 2026-04-22
- Certified
- 2026-04-22
Frequently asked questions
- What is Lakeside Orthopedic Institute, LLC's NPI number?
- Lakeside Orthopedic Institute, LLC's National Provider Identifier (NPI) is 1245965581, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Orthopedic Institute, LLC?
- Lakeside Orthopedic Institute, LLC is classified in the NPPES registry as Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Lakeside Orthopedic Institute, LLC located?
- Lakeside Orthopedic Institute, LLC's practice location on file with NPPES is 2440 Adobe Rd Ste 101, Bullhead City, AZ 86442-4486.
- What is Lakeside Orthopedic Institute, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Orthopedic Institute, LLC is (928) 505-5555.
- Does Lakeside Orthopedic Institute, LLC accept Medicare?
- Lakeside Orthopedic Institute, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lakeside Orthopedic Institute, LLC?
- The authorized official listed on Lakeside Orthopedic Institute, LLC's NPPES record is Daniel Heiner, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Orthopedic Institute, LLC's NPI active?
- Yes — Lakeside Orthopedic Institute, LLC's NPI (1245965581) is active in the NPPES registry as of the last update on 2026-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.