RANDALL SCOTT WHITESIDE CP
NPI 1871017137
Prosthetist in Phoenix, AZ

Q: What is Randall Whiteside's NPI number?

The NPI number for Randall Whiteside is 1871017137. It was assigned to this individual provider in the NPPES registry on July 28, 2017.

Q: What is Randall Whiteside's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

Q: When was this NPI record last updated?

The NPPES record for Randall Whiteside was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.

Active since July 28, 2017

1190 E MISSOURI AVE STE 190, PHOENIX, AZ 85014(602) 312-6605(480) 212-5944 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Jul 28, 2017 (2 updates tracked since 2017).

On this page

About Randall Scott Whiteside Cp NPPES

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

RANDALL SCOTT WHITESIDE CP (NPI 1871017137) is an individual prosthetist provider in Phoenix, Arizona and active in the NPI registry since July 2017. He maintains a secondary practice location in Paradise Valley.

NPPES Registry Identity

NPI1871017137

Entity TypeIndividualMale

Primary Taxonomy224P00000X

Provider Legal NameRANDALL SCOTT WHITESIDECredential: CP

Location Address1190 E MISSOURI AVE STE 190Phoenix, AZ 85014-2736

Mailing Address5347 E Mockingbird LnParadise Valley, AZ 85253-2521

Phone(602) 312-6605

Fax(480) 212-5944

Sole ProprietorNo

Enumeration DateJuly 28, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1871017137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code224P00000X

Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

1190 E MISSOURI AVE STE 190, Phoenix, AZ 85014

Open in Google Maps ↗

Secondary Practice Location 1

Location 15347 E Mockingbird LnParadise Valley, AZ 85253-2521 · Phone (602) 312-6605

Other Providers at the Same Location NPPES

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

RANDY WHITESIDE PROSTHETICS LLC

Prosthetist

1190 E MISSOURI AVE STE 190
PHOENIX, AZ 85014

Maricopa County (602) 596-1040

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 Randall Whiteside's NPI number?

The NPI number for Randall Whiteside is 1871017137. It was assigned to this individual provider in the NPPES registry on July 28, 2017.

Where is Randall Whiteside located?

Randall Whiteside practices at 1190 E Missouri Ave Ste 190, Phoenix, AZ 85014. The listed phone number is (602) 312-6605.

What is Randall Whiteside's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Randall Whiteside was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.