LAKESIDE ORTHOPEDIC INSTITUTE LLC
NPI 1972373710
Clinic/Center - Urgent Care in Lake Havasu City, AZ

Active since January 03, 2024
1944 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403(928) 505-5555 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 22, 2026, Jan 3, 2024 (2 updates tracked since 2024).

About Lakeside Orthopedic Institute Llc NPPES

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

LAKESIDE ORTHOPEDIC INSTITUTE LLC (NPI 1972373710), doing business as Lakeside Urgent Care, is a healthcare organization registered as an urgent care in Lake Havasu City, Arizona and active in the NPI registry since January 2024. The organization lists Daniel Edward Heiner, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1972373710
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameLAKESIDE ORTHOPEDIC INSTITUTE LLC
Location Address1944 MESQUITE AVELake Havasu City, AZ 86403-5729
Mailing Address25 Riviera BlvdLake Havasu City, AZ 86403-5694 · (928) 505-5555
Organization SubpartYes
Authorized OfficialDaniel Edward HeinerManaging Partner · (928) 505-5555
Enumeration DateJanuary 3, 2024
Last NPPES UpdateApril 22, 20262 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1972373710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
1944 MESQUITE AVE, Lake Havasu City, AZ 86403

Other Names 1

Doing Business AsLakeside Urgent Care

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lakeside Orthopedic Institute Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Lakeside Orthopedic Institute LLC, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 7

Physical Therapist in Private Practice4
Orthopedic Surgery3
Nurse Practitioner2
Anesthesiology1
Interventional Pain Management1
Pain Management1
Podiatry1

Clinicians, nearest first (13)

Orthopedic Surgery
NPI 1841270873
25 RIVIERA BLVD
Lake Havasu City, AZ 86403
(928) 505-5555
✔ PECOS✔ Accepts Medicare0.1 mi
Podiatry
NPI 1205813565
25 RIVIERA BLVD
Lake Havasu City, AZ 86403
(928) 505-5555
✔ PECOS✔ Accepts Medicare0.1 mi
Anesthesiology
NPI 1104244631
25 RIVIERA BLVD
Lake Havasu City, AZ 86403
(928) 505-7246
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1861846867
25 RIVIERA BLVD
Lake Havasu City, AZ 86403
(928) 505-5555
✔ PECOS✔ Accepts Medicare0.1 mi
Pain Management
NPI 1912333014
1791 MESQUITE AVE
Lake Havasu City, AZ 86403
(928) 505-5555
✔ PECOS✔ Accepts Medicare0.3 mi
Physical Therapist in Private Practice
NPI 1447069059
1791 MESQUITE AVE
Lake Havasu City, AZ 86403
(928) 855-4248
✔ Accepts Medicare0.3 mi
Physical Therapist in Private Practice
NPI 1720644537
1791 MESQUITE AVE
Lake Havasu City, AZ 86403
(610) 401-1926
✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1922450493
84 ACOMA BLVD N STE 106
Lake Havasu City, AZ 86403
(928) 412-8808
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1912504812
7201 W CAMINO SAN XAVIER
Glendale, AZ 85308
(480) 985-1093
✔ PECOS✔ Accepts Medicare135 mi
Orthopedic Surgery
NPI 1033184486
19636 N 27TH AVE STE 401
Phoenix, AZ 85027
(602) 298-8888
✔ PECOS✔ Accepts Medicare139 mi
Physical Therapist in Private Practice
NPI 1346508983
900 E WASHINGTON ST STE. 100
Colton, CA 92324
(909) 433-3200
✔ Accepts Medicare173 mi
Physical Therapist in Private Practice
NPI 1386381820
10027 W REMINGTON AVE
Littleton, CO 80127
(720) 922-7553
✔ Accepts Medicare618 mi
Interventional Pain Management
NPI 1740235944
3627 BRODHEAD RD SUITE 1
Monaca, PA 15061
(724) 728-7880
✔ PECOS✔ Accepts Medicare1,903 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1972373710. It was assigned to this organization in the NPPES registry on January 3, 2024. The provider is doing business as Lakeside Urgent Care.

Where is Lakeside Orthopedic Institute LLC located?

Lakeside Orthopedic Institute LLC is located at 1944 Mesquite Ave, 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 Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Lakeside Orthopedic Institute LLC enrolled in Medicare?

Yes. Lakeside Orthopedic Institute LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeside Orthopedic Institute LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 7 Medicare specialties reassign their Medicare billing to Lakeside Orthopedic Institute LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (4), Orthopedic Surgery (3) and Nurse Practitioner (2). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 6 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.