PHOENIX LIFE CENTER INC
NPI 1700061355
Chiropractor in Phoenix, AZ

Active since January 02, 2008
3650 W BETHANY HOME RD, PHOENIX, AZ 85019(602) 973-6609(602) 973-0067 Get Directions Write a Review

NPPES record last updated: May 15, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Phoenix Life Center Inc NPPES

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

PHOENIX LIFE CENTER INC (NPI 1700061355) is a healthcare organization registered as a chiropractor in Phoenix, Arizona and active in the NPI registry since January 2008. The organization lists James M Diana, Owner, as its authorized official.

NPPES Registry Identity

NPI1700061355
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePHOENIX LIFE CENTER INC
Location Address3650 W BETHANY HOME RDPhoenix, AZ 85019-1967
Mailing Address3650 W Bethany Home RdPhoenix, AZ 85019-1967 · (602) 973-6609 · Fax (602) 973-0067
Fax(602) 973-0067
Organization SubpartNo
Authorized OfficialJames M DianaOwner · (602) 973-6609
Enumeration DateJanuary 2, 2008
Last NPPES UpdateMay 15, 2013
✔ NPI 1700061355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · 875
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.
3650 W BETHANY HOME RD, Phoenix, AZ 85019

Other Identifiers 1

Medicare PINZWCHHSAZ

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)

Phoenix Life Center Inc 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 Phoenix Life Center Inc, 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 1275631079
3650 WEST BETHANY HOME ROAD
Phoenix, AZ 85019
(602) 973-6609
✔ Accepts MedicareSame address
Chiropractic
NPI 1942383633
3650 WEST BETHANY HOME ROAD
Phoenix, AZ 85019
(602) 973-6609
✔ Accepts Medicare

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 Phoenix Life Center Inc's NPI number?

The NPI number for Phoenix Life Center Inc is 1700061355. It was assigned to this organization in the NPPES registry on January 2, 2008.

Where is Phoenix Life Center Inc located?

Phoenix Life Center Inc is located at 3650 W Bethany Home Rd, Phoenix, AZ 85019. The listed phone number is (602) 973-6609.

What is Phoenix Life Center Inc's specialty?

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

Is Phoenix Life Center Inc enrolled in Medicare?

Yes. Phoenix Life Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phoenix Life Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Phoenix Life Center Inc. 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 Phoenix Life Center Inc was last updated on May 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.