- Practice location
- 16515 S 40TH St, Suite 129, Phoenix, AZ 85048-0558
- Phone
- 480-704-1050
- Fax
- 480-704-0109
- Last updated
- April 20, 2011
Active Lifestyle Chiropractic is a healthcare organization based in Phoenix, AZ. Active Lifestyle Chiropractic practices in Phoenix, AZ. The NPI Number for Active Lifestyle Chiropractic is 1083905301 and holds a License No. 7750 (AZ). The current practice location address for Active Lifestyle Chiropractic is 16515 S 40TH St, Suite 129, Phoenix, AZ 85048-0558 and can be reached out via phone at 480-704-1050 and via fax at 480-704-0109.
Provider Profile Details
- NPI Number
- 1083905301
- Provider Name
- Active Lifestyle Chiropractic
- Provider Entity Type
- Organization
- Address
- 16515 S 40TH St, Suite 129, Phoenix, AZ 85048-0558
- Phone Number
- 480-704-1050
- Fax Number
- 480-704-0109
- Primary Taxonomy
- Chiropractor · 111N00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Jennifer Renee Winton, DC · Owner · 480-704-1050
- Provider Enumeration Date
- April 20, 2011
- Last Update Date
- April 20, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 16515 S 40TH St
Suite 129
Phoenix, AZ 85048-0558 - City
- Phoenix
- State
- Arizona
- Zip
- 85048-0558
- Phone Number
- 480-704-1050
- Fax Number
- 480-704-0109
Provider Business Mailing Address Details
- Address
- 16515 S 40TH St
Suite 129
Phoenix, AZ 85048-0558 - City
- Phoenix
- State
- AZ
- Zip
- 85048-0558
- Phone Number
- 480-704-1050
- Fax Number
- 480-704-0109
License Information
- License Number
- 7750
- License State
- AZ
- Taxonomy
- Chiropractor · 111N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Active Lifestyle Chiropractic?
The NPI number of Active Lifestyle Chiropractic is 1083905301. It was assigned on April 20, 2011 and is currently active in the NPPES registry.
What is the specialty of Active Lifestyle Chiropractic?
Active Lifestyle Chiropractic is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in AZ under license number 7750.
Where does Active Lifestyle Chiropractic practice?
The practice location is 16515 S 40TH St, Suite 129, Phoenix, AZ 85048-0558. The office can be reached at 480-704-1050 (phone) or 480-704-0109 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083905301 directly on the NPPES registry website.