Active NPIOrganization

Active Lifestyle Chiropractic

Chiropractor in Phoenix, Arizona

NPI Number1083905301
Practice location
16515 S 40TH St, Suite 129, Phoenix, AZ 85048-0558
Fax
480-704-0109
Last updated
April 20, 2011

Active Lifestyle Chiropractic is a healthcare organization based in Phoenix, AZ. The NPI number for Active Lifestyle Chiropractic is 1083905301 and holds license No. 7750 (AZ). The current practice location address is 16515 S 40TH St, Suite 129, Phoenix, AZ 85048-0558 and the office can be reached by phone at 480-704-1050 and by fax at 480-704-0109. The NPI was assigned on April 20, 2011 and the record was last updated in NPPES on April 20, 2011.

●Provider Profile Details

NPI Number
1083905301
Provider Name
Active Lifestyle Chiropractic
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Chiropractor · 111N00000X
Organization Subpart
No
Authorized Official
Dr. Jennifer Renee Winton, DC · Owner · 480-704-1050
Enumeration Date
April 20, 2011
Last Update Date
April 20, 2011
NPI Status
Active

◉Business Practice Location Address

Address
16515 S 40TH St
Suite 129
Phoenix, AZ 85048-0558
State
Arizona
ZIP
85048-0558
Country
US
Phone Number
480-704-1050
Fax Number
480-704-0109

Get directions →

✉Business Mailing Address

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

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Chiropractor
193200000X - Multi-Specialty Group
111N00000XYes7750AZ

#Other Provider Identifiers

No legacy or other 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) and holds license No. 7750 (AZ).

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 at npiregistry.cms.hhs.gov.

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