LAKESIDE ORTHOPEDIC INSTITUTE, LLC – NPI #1356099790
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

LAKESIDE ORTHOPEDIC INSTITUTE, LLC is a provider located in LAKE HAVASU CITY, AZ. NPPES has assigned the NPI number 1356099790 to LAKESIDE ORTHOPEDIC INSTITUTE, LLC on March 15, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Apr 22, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKESIDE ORTHOPEDIC INSTITUTE, LLC below.

NPI Profile for
LAKESIDE ORTHOPEDIC INSTITUTE, LLC

NPI Number
1356099790
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKESIDE ORTHOPEDIC INSTITUTE, LLC
Primary location
1720 MESQUITE AVE STE 100
LAKE HAVASU CITY, AZ 86403-5602
Phone: (928) 505-5555 Fax: (928) 505-5557
1 Other location(s):
2035 Mesquite Ave Ste C
Lake Havasu City, AZ 86403-5894
Phone: (928) 505-5555
Mailing address
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403-5694
Phone: (928) 505-5555 Fax: (928) 505-5557
Organization Subpart
Yes - LAKESIDE ORTHOPEDIC INSTITUTE, LLC is subpart of another organization.
Authorized Official
DANIEL HEINER
AUTHORIZED OFFICIAL
Phone: (928) 505-5555
Updated
Certification Date
Apr 22, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.