Active NPI
Southwest Institute of Advancing Hip and Knee Technologies, PLLC
- Orthopaedic Surgery Physician
- Sedona, AZ
National Provider Identifier
1912637786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- SOUTHWEST INSTITUTE OF ADVANCING HIP AND KNEE TECHNOLOGIES, PLLC
- Practice address
- 95 Soldiers Pass Rd Ste B1
Sedona, AZ 86336-4712 - Phone
- (928) 600-0479
- NPI assigned
- Jun 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amber Randall
- Title
- MD Owner
- Phone
- (928) 600-0479
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X |
Addresses
Primary practice location
95 Soldiers Pass Rd Ste B1
Sedona, AZ 86336-4712
Mailing address
10910 Brown Bear Rd
Flagstaff, AZ 86004-1577
Phone (928) 600-0479
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Flagstaff, AZ
- NPI 1063496255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757203200000",
"number": "1912637786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10910 BROWN BEAR RD",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860041577",
"telephone_number": "928-600-0479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 SOLDIERS PASS RD STE B1",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863364712",
"telephone_number": "928-600-0479"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST INSTITUTE OF ADVANCING HIP AND KNEE TECHNOLOGIES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-14",
"last_updated": "2025-09-07",
"certification_date": "2025-09-07",
"status": "A",
"authorized_official_last_name": "RANDALL",
"authorized_official_first_name": "AMBER",
"authorized_official_title_or_position": "MD OWNER",
"authorized_official_telephone_number": "928-600-0479"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207XS0114X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sedona, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2025; 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.