Active NPI
DJLW Health Services Inc.
Doing business as Wheeler Orthotics & Prosthetics
- Prosthetic/Orthotic Supplier
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 20001304
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 847048 | Medicaid | AZ |
Other names 2
- Wheeler Orthotics & Prosthetics
- McCleve Orthotics & Prosthetics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1265724934
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.