Organization Active NPI

DJLW Health Services Inc.

Doing business as Wheeler Orthotics & Prosthetics

  • Prosthetic/Orthotic Supplier
  • Phoenix, AZ
National Provider Identifier
1821090390
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
20001304 Issued in AZ
Legal business name
DJLW HEALTH SERVICES INC.
Doing business as
Wheeler Orthotics & Prosthetics
Practice address
3118 N 7TH Ave
Phoenix, AZ 85013-4107
Phone
(480) 656-9177
Fax
(866) 401-1401
NPI assigned
Aug 12, 2005
Organization subpart
Yes
Parent organization
WHEELER MEDICAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Colleen Wheeler
Title
Coo
Phone
(480) 656-9177

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X 20001304 AZ Primary

Addresses

Primary practice location

3118 N 7TH Ave
Phoenix, AZ 85013-4107

Mailing address

3118 N 7TH Ave
Phoenix, AZ 85013-4107
Phone (480) 656-9177

Other practice location 1

2425 S Stearman Dr Ste 110
Chandler, AZ 85286-5039
Phone (480) 656-9177 ext. 3

Other identifiers 1

IdentifierTypeStateIssuer
847048MedicaidAZ

Other names 2

  • Wheeler Orthotics & Prosthetics Doing business as
  • McCleve Orthotics & Prosthetics Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930012154 AZ DME Supplier - Certified Orth/Pros/Pedorthist 8729295654 Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory
Tax ID family
DJLW Health Services Inc2 organizations share this tax ID, including this one
Part of
Wheeler Medical LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2425 S Stearman Dr
Ste 110
Chandler, AZ 85286
Phone (480) 656-9177

485 S Dobson Rd
Ste 111
Chandler, AZ 85224
Phone (480) 407-4999

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1821090390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 N 7TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134107",
            "telephone_number": "480-656-9177",
            "fax_number": "866-401-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 N 7TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134107",
            "telephone_number": "480-656-9177",
            "fax_number": "866-401-1401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2425 S Stearman Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852865039",
            "country_code": "US",
            "telephone_number": "480-656-9177 x3",
            "fax_number": "866-401-1401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DJLW HEALTH SERVICES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHEELER MEDICAL LLC",
        "enumeration_date": "2005-08-12",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "480-656-9177"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AZ",
            "license": "20001304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "847048",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wheeler Orthotics & Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McCleve Orthotics & Prosthetics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.