Lakeside Orthopedic Institute LLC
NPI 1679764229 · Orthopaedic Surgery Physician · Lake Havasu City, AZ
Enrolled with Medicare as Dme Supplier - Physician - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeside Orthopedic Institute LLC is a Orthopaedic Surgery Physician organization in Lake Havasu City, AZ (NPI 1679764229).
Provider details
- NPI number
- 1679764229
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Heiner, Partner(928) 505-5555
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Technologists, Technicians & Other Technical Service Providers
- 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
18 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
Mailing address
Registry dates
- Enumerated
- 2007-08-08
- 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 1679764229, 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 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694.
- 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, Partner. 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 (1679764229) 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.