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AZ LIFESTYLE CHIROPRACTIC CENTER, PC
NPI 1164951208
Chiropractor in Peoria, AZ

Active since June 11, 2017
14155 N 83RD AVE STE 102, PEORIA, AZ 85381(623) 878-0475(623) 878-0640 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jun 11, 2017 (2 updates tracked since 2017).

About Az Lifestyle Chiropractic Center, Pc NPPES

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

AZ LIFESTYLE CHIROPRACTIC CENTER, PC (NPI 1164951208) is a healthcare organization registered as a chiropractor in Peoria, Arizona and active in the NPI registry since June 2017. The organization lists Robin Mcmahan, Manager, as its authorized official.

NPPES Registry Identity

NPI1164951208
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameAZ LIFESTYLE CHIROPRACTIC CENTER, PC
Location Address14155 N 83RD AVE STE 102Peoria, AZ 85381-5640
Mailing Address14155 N 83rd Ave Ste 102Peoria, AZ 85381-5640 · (623) 878-0475 · Fax (623) 878-0640
Phone(623) 878-0475
Fax(623) 878-0640
Organization SubpartNo
Authorized OfficialRobin McmahanManager · (602) 723-1494
Enumeration DateJune 11, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1164951208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · DC5016
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.
Also ListedChiropractor · NutritionTaxonomy 111NN1001X · License DC5016 (AZ)
14155 N 83RD AVE STE 102, Peoria, AZ 85381
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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)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Az Lifestyle Chiropractic Center, PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jodi Judge, DC DACNB CCN
Chiropractic
NPI 1598878589
14155 N 83RD AVE STE 102
Peoria, AZ 85381
(623) 878-0475
✔ Accepts Medicare0.1 mi
Matthew Amundgaard, CHIROPRACTOR
Chiropractic
NPI 1790863371
16995 W GREENWAY RD STE 102
Surprise, AZ 85388
(623) 433-8895
11 mi

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 Az Lifestyle Chiropractic Center, PC's NPI number?

The NPI number for Az Lifestyle Chiropractic Center, PC is 1164951208. It was assigned to this organization in the NPPES registry on June 11, 2017.

Where is Az Lifestyle Chiropractic Center, PC located?

Az Lifestyle Chiropractic Center, PC is located at 14155 N 83rd Ave Ste 102, Peoria, AZ 85381. The listed phone number is (623) 878-0475.

What is Az Lifestyle Chiropractic Center, PC's specialty?

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

Is Az Lifestyle Chiropractic Center, PC enrolled in Medicare?

Yes. Az Lifestyle Chiropractic Center, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Az Lifestyle Chiropractic Center, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Az Lifestyle Chiropractic Center, PC. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Az Lifestyle Chiropractic Center, PC was last updated on July 21, 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.