1. Home
  2. Directory
  3. Arizona
  4. Prescott Valley
  5. Chiropractor
  6. NPI Profile

LIFESTYLE CHIROPRACTIC LLC
NPI 1003313024
Chiropractor in Prescott Valley, AZ

Active since April 06, 2018
3192 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314(928) 288-0500(928) 432-7003 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 23, 2022, Mar 7, 2022 (2 updates tracked since 2022).

About Lifestyle Chiropractic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFESTYLE CHIROPRACTIC LLC (NPI 1003313024) is a healthcare organization registered as a chiropractor in Prescott Valley, Arizona and active in the NPI registry since April 2018. The organization lists Tiffany Longoria, Chiropractic Physician, as its authorized official.

NPPES Registry Identity

NPI1003313024
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIFESTYLE CHIROPRACTIC LLC
Location Address3192 N WINDSONG DRPrescott Valley, AZ 86314-2239
Mailing Address3192 N Windsong DrPrescott Valley, AZ 86314-2239 · (928) 288-0500
Phone(928) 288-0500
Fax(928) 432-7003
Organization SubpartNo
Authorized OfficialTiffany LongoriaChiropractic Physician · (928) 288-0500
Enumeration DateApril 6, 2018
Last NPPES UpdateAugust 23, 20222 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
✔ NPI 1003313024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · 8698
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3192 N WINDSONG DR, Prescott Valley, AZ 86314
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifestyle Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lifestyle Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jerome Longoria, DC
Chiropractic
NPI 1396241394
3192 N WINDSONG DR
Prescott Valley, AZ 86314
(928) 288-0500
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifestyle Chiropractic LLC's NPI number?

The NPI number for Lifestyle Chiropractic LLC is 1003313024. It was assigned to this organization in the NPPES registry on April 6, 2018.

Where is Lifestyle Chiropractic LLC located?

Lifestyle Chiropractic LLC is located at 3192 N Windsong Dr, Prescott Valley, AZ 86314. The listed phone number is (928) 288-0500.

What is Lifestyle Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Lifestyle Chiropractic LLC enrolled in Medicare?

Yes. Lifestyle Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifestyle Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Lifestyle Chiropractic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lifestyle Chiropractic LLC was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.