Healthcare Provider Details

I. General information

NPI: 1861368664
Provider Name (Legal Business Name): CD ORTHOPAEDICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2812 N NORWALK STE 120
MESA AZ
85215-1149
US

IV. Provider business mailing address

2812 N NORWALK STE 120
MESA AZ
85215-1149
US

V. Phone/Fax

Practice location:
  • Phone: 480-867-9907
  • Fax: 480-900-8532
Mailing address:
  • Phone: 480-867-9907
  • Fax: 480-900-8532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PAUL JOSEPH LANIER
Title or Position: ORTHOPEDIC SPINE SURGEON
Credential: DO
Phone: 801-471-7340