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ACTIVE LIFESTYLE CHIROPRACTIC
NPI 1083905301
Chiropractor in Phoenix, AZ

Active since April 20, 2011
16515 S 40TH ST, SUITE 129, PHOENIX, AZ 85048(480) 704-1050(480) 704-0109 Get Directions Write a Review

NPPES record last updated: April 20, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Active Lifestyle Chiropractic NPPES

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

ACTIVE LIFESTYLE CHIROPRACTIC (NPI 1083905301) is a healthcare organization registered as a chiropractor in Phoenix, Arizona and active in the NPI registry since April 2011. The organization lists Jennifer Renee Winton, Owner, as its authorized official.

NPPES Registry Identity

NPI1083905301
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameACTIVE LIFESTYLE CHIROPRACTIC
Location Address16515 S 40TH ST, SUITE 129Phoenix, AZ 85048-0558
Mailing Address16515 S 40th St, Suite 129Phoenix, AZ 85048-0558 · (480) 704-1050 · Fax (480) 704-0109
Phone(480) 704-1050
Fax(480) 704-0109
Organization SubpartNo
Authorized OfficialJennifer Renee WintonOwner · (480) 704-1050
Enumeration DateApril 20, 2011
✔ NPI 1083905301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · 7750
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.

16515 S 40TH ST, Phoenix, AZ 85048
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Other Identifiers 3

Medicare UPINU98818AZ
OtherZ111783Ptan
Medicare PIN111783AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KATHERINE DIANE BOGUSHEFSKY MC, LPC
Counselor (Professional)
16515 S 40TH ST, #139
PHOENIX, AZ 85048
Maricopa County (480) 205-4040
TLC FAMILY MEDICINE PC
Family Medicine
16515 S 40TH ST, SUITE 131
PHOENIX, AZ 85048
Maricopa County (480) 598-1357
DR. DANIELA P ENGLISH D.O. LLC
Family Medicine
16515 S 40TH ST, SUITE 103
PHOENIX, AZ 85048
Maricopa County (480) 961-0760
DR. BRADLEY JOSEPH SANDVIK DMD
Dentist (General Practice)
16515 S 40TH ST, SUITE 101
PHOENIX, AZ 85048
Maricopa County (480) 759-2000
DR. ELIZABETH A. CARSON DO
Family Medicine
16515 S 40TH ST, SUITE 139
PHOENIX, AZ 85048
Maricopa County (480) 706-0174
MYA ANN SWAN RUEDA D.P.T.
Physical Therapist (Orthopedic)
16515 S 40TH ST, SUITE 133
PHOENIX, AZ 85048
Maricopa County (602) 206-8261
PATRICIA A DIETZGEN DO LLC
Clinic/Center (Primary Care)
16515 S 40TH ST, SUITE 103
PHOENIX, AZ 85048
Maricopa County (480) 961-0760
SPORTS & FAM CARE CLINIC INC
Chiropractor (Sports Physician)
16515 S 40TH ST, SUITE 133
PHOENIX, AZ 85048
Maricopa County (480) 704-6133

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 Active Lifestyle Chiropractic's NPI number?

The NPI number for Active Lifestyle Chiropractic is 1083905301. It was assigned to this organization in the NPPES registry on April 20, 2011.

Where is Active Lifestyle Chiropractic located?

Active Lifestyle Chiropractic is located at 16515 S 40th St Suite 129, Phoenix, AZ 85048. The listed phone number is (480) 704-1050.

What is Active Lifestyle Chiropractic's specialty?

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

When was this NPI record last updated?

The NPPES record for Active Lifestyle Chiropractic was last updated on April 20, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.