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DR. SERGIO NINO LIFE CHIROPRACTIC
NPI 1851317259
Chiropractor in Phoenix, AZ

Active since July 15, 2006
2333 W NORTHERN AVE STE 1B, PHOENIX, AZ 85021(602) 995-4336(602) 995-4340 Get Directions Write a Review

NPPES record last updated: January 26, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sergio Nino Life Chiropractic NPPES

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

DR. SERGIO NINO LIFE CHIROPRACTIC (NPI 1851317259) is a healthcare organization registered as a chiropractor in Phoenix, Arizona and active in the NPI registry since July 2006. The organization lists Sergio Nino, Chiropractor/owner, as its authorized official.

NPPES Registry Identity

NPI1851317259
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDR. SERGIO NINO LIFE CHIROPRACTIC
Location Address2333 W NORTHERN AVE STE 1BPhoenix, AZ 85021-9348
Mailing Address2333 W Northern Ave Ste 1bPhoenix, AZ 85021-9348 · (602) 995-4336 · Fax (602) 995-4340
Phone(602) 995-4336
Fax(602) 995-4340
Organization SubpartNo
Authorized OfficialSergio NinoChiropractor/owner · (602) 995-4336
Enumeration DateJuly 15, 2006
Last NPPES UpdateJanuary 26, 2015
✔ NPI 1851317259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · 8019
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.
2333 W NORTHERN AVE STE 1B, Phoenix, AZ 85021
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified68066AZ · Medicare Provider #
Medicare UPINU88125AZ

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sergio Nino Life Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20060906000358Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Sergio Nino Life Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sergio Nino, D.C.
Chiropractic
NPI 1295755593
8041 N BLACK CANYON HWY STE 118
Phoenix, AZ 85021
(602) 995-4336
✔ PECOS0.2 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 Dr. Sergio Nino Life Chiropractic's NPI number?

The NPI number for Dr. Sergio Nino Life Chiropractic is 1851317259. It was assigned to this organization in the NPPES registry on July 15, 2006.

Where is Dr. Sergio Nino Life Chiropractic located?

Dr. Sergio Nino Life Chiropractic is located at 2333 W Northern Ave Ste 1B, Phoenix, AZ 85021. The listed phone number is (602) 995-4336.

What is Dr. Sergio Nino Life Chiropractic's specialty?

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

Is Dr. Sergio Nino Life Chiropractic enrolled in Medicare?

Yes. Dr. Sergio Nino Life Chiropractic is registered in the Medicare PECOS enrollment system.

When is Dr. Sergio Nino Life Chiropractic's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Dr. Sergio Nino Life Chiropractic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Dr. Sergio Nino Life 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 Dr. Sergio Nino Life Chiropractic was last updated on January 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.