LAKESIDE ORTHOPEDIC INSTITUTE, LLC
NPI 1356099790
Family Medicine in Lake Havasu City, AZ

Q: What is Lakeside Orthopedic Institute, LLC's NPI number?

The NPI number for Lakeside Orthopedic Institute, LLC is 1356099790. It was assigned to this organization in the NPPES registry on March 15, 2022. The provider is doing business as Lakeside Primary Care.

Q: What is Lakeside Orthopedic Institute, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 15, 2022

1720 MESQUITE AVE STE 100, LAKE HAVASU CITY, AZ 86403(928) 505-5555(928) 505-5557 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2026, Sep 12, 2024, Oct 27, 2022 (3 updates tracked since 2022).

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About Lakeside Orthopedic Institute, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE ORTHOPEDIC INSTITUTE, LLC (NPI 1356099790), doing business as Lakeside Primary Care, is a healthcare organization registered as a family medicine in Lake Havasu City, Arizona and active in the NPI registry since March 2022. The organization maintains a secondary practice location in Lake Havasu City and lists Daniel Edward Heiner, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1356099790

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameLAKESIDE ORTHOPEDIC INSTITUTE, LLC

Location Address1720 MESQUITE AVE STE 100Lake Havasu City, AZ 86403-5602

Mailing Address25 Riviera BlvdLake Havasu City, AZ 86403-5694 · (928) 505-5555 · Fax (928) 505-5557

Phone(928) 505-5555

Fax(928) 505-5557

Organization SubpartYes

Authorized OfficialDaniel Edward HeinerAuthorized Official · (928) 505-5555

Enumeration DateMarch 15, 2022

Last NPPES UpdateApril 22, 20263 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1356099790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

1720 MESQUITE AVE STE 100, Lake Havasu City, AZ 86403

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Other Names 1

Doing Business AsLakeside Primary Care

Secondary Practice Location 1

Location 12035 Mesquite Ave Ste CLake Havasu City, AZ 86403-5894 · Phone (928) 505-5555

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAMILY PRIMARY CARE, LLC

Nurse Practitioner (Family)

1720 MESQUITE AVE STE 100
LAKE HAVASU CITY, AZ 86403

Mohave County (928) 412-8808

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Orthopedic Institute, LLC's NPI number?

The NPI number for Lakeside Orthopedic Institute, LLC is 1356099790. It was assigned to this organization in the NPPES registry on March 15, 2022. The provider is doing business as Lakeside Primary Care.

Where is Lakeside Orthopedic Institute, LLC located?

Lakeside Orthopedic Institute, LLC is located at 1720 Mesquite Ave Ste 100, Lake Havasu City, AZ 86403. The listed phone number is (928) 505-5555.

What is Lakeside Orthopedic Institute, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Lakeside Orthopedic Institute, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 21 other insurers list Lakeside Orthopedic Institute, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeside Orthopedic Institute, LLC was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.