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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: November 01, 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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Active Lifestyle Chiropractic 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 Active Lifestyle Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jennifer Winton, DC
Chiropractic
NPI 1255444055
16515 S 40TH ST STE 131
Phoenix, AZ 85048
(480) 704-1050
✔ 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 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.

Is Active Lifestyle Chiropractic enrolled in Medicare?

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

How many clinicians bill Medicare through Active Lifestyle Chiropractic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Active Lifestyle Chiropractic. 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 Active Lifestyle Chiropractic was last updated on April 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.