Lakeside Orthopedic Institute, LLC
NPI 1356099790 · Family Medicine Physician · Lake Havasu City, AZ
Lakeside Orthopedic Institute, LLC is a Family Medicine Physician organization in Lake Havasu City, AZ (NPI 1356099790).
Provider details
- NPI number
- 1356099790
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Lakeside Orthopedic Institute, LLC
- Organization subpart
- Yes
- Authorized official
- Daniel Heiner, Authorized Official(928) 505-5555
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Other names (DBA / former)
- Doing business as
- Lakeside Primary Care
- Doing business as
- Lakeside Primary Care
Additional practice locations (1)
- 2035 Mesquite Ave Ste CLake Havasu City, AZ 86403-5894Phone: (928) 505-5555
Registry dates
- Enumerated
- 2022-03-15
- 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 1356099790, 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 Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lakeside Orthopedic Institute, LLC located?
- Lakeside Orthopedic Institute, LLC's practice location on file with NPPES is 1720 Mesquite Ave Ste 100, Lake Havasu City, AZ 86403-5602.
- 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.
- 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 (1356099790) 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.