Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Randy Whiteside Prosthetics LLC

Organization Prosthetist · NPI 1609386853

Randy Whiteside Prosthetics LLC is a Prosthetist in Phoenix, Arizona. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1190 E Missouri Ave Ste 190
Phoenix, AZ 85014-2736
Phone: (602) 596-1040
Fax: (480) 212-5944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X

Record details

NPI number1609386853
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Whiteside — Manager · (602) 596-4010
NPI enumeratedOctober 2, 2017
Last updated in NPPESOctober 2, 2017
Mailing address1190 E Missouri Ave Ste 190, Phoenix, AZ 85014-2736

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