AZ REGENERATIVE MEDICNE
NPI 1609408194
Chiropractor in Phoenix, AZ

Active since February 12, 2020
16620 N 40TH ST STE G2, PHOENIX, AZ 85032(602) 992-2656 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Az Regenerative Medicne NPPES

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

AZ REGENERATIVE MEDICNE (NPI 1609408194) is a healthcare organization registered as a chiropractor in Phoenix, Arizona and active in the NPI registry since February 2020. The organization lists Jeffrey Ward Frost, Owner, as its authorized official.

NPPES Registry Identity

NPI1609408194
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameAZ REGENERATIVE MEDICNE
Location Address16620 N 40TH ST STE G2Phoenix, AZ 85032-3351
Mailing Address16620 N 40th St Ste G2Phoenix, AZ 85032-3351 · (602) 992-2656
Organization SubpartNo
Authorized OfficialJeffrey Ward FrostOwner · (602) 992-2656
Enumeration DateFebruary 12, 2020
✔ NPI 1609408194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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 ListedNurse PractitionerTaxonomy 363L00000X
16620 N 40TH ST STE G2, Phoenix, AZ 85032

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 Regenerative Medicne 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 Regenerative Medicne, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1215081120
16620 N 40TH ST STE G2
Phoenix, AZ 85032
(602) 992-2656
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1770049173
5555 E BASELINE RD
Mesa, AZ 85206
(480) 393-5075
✔ PECOS✔ Accepts Medicare24 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 Regenerative Medicne's NPI number?

The NPI number for Az Regenerative Medicne is 1609408194. It was assigned to this organization in the NPPES registry on February 12, 2020.

Where is Az Regenerative Medicne located?

Az Regenerative Medicne is located at 16620 N 40th St Ste G2, Phoenix, AZ 85032. The listed phone number is (602) 992-2656.

What is Az Regenerative Medicne's specialty?

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

Is Az Regenerative Medicne enrolled in Medicare?

Yes. Az Regenerative Medicne is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Az Regenerative Medicne?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Az Regenerative Medicne, in Chiropractic and Nurse Practitioner. 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 at this address. 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 Regenerative Medicne was last updated on February 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.