Active Lifestyle Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7750 Issued in AZ

Legal business name

ACTIVE LIFESTYLE CHIROPRACTIC

Practice address

16515 S 40TH St
Suite 129
Phoenix, AZ 85048-0558

Phone

(480) 704-1050

Fax

(480) 704-0109

NPI assigned

Apr 20, 2011

Last updated

Apr 20, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jennifer Renee Winton, DCNPI 1255444055

Title

Owner

Phone

(480) 704-1050

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Renee Winton, DC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1255444055
  Medicare reassignment NPD Authorized official
• John Scott Mettham, D.C., P.T.

  • Chiropractor
  • Phoenix, AZ
  • NPI 1235227364
  NPD
• Matthew G Hooper, D.C.

  • Chiropractor
  • Phoenix, AZ
  • NPI 1053358085
  NPD (past)
• Jazmin Torres, D.C.

  • Chiropractor
  • Phoenix, AZ
  • NPI 1700974755
  NPD (past)
• Jeffrey Todd Winton, N.M.D.

  • Naturopath
  • Phoenix, AZ
  • NPI 1972804961
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1083905301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16515 S 40TH ST",
            "address_2": "SUITE 129",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480558",
            "telephone_number": "480-704-1050",
            "fax_number": "480-704-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16515 S 40TH ST",
            "address_2": "SUITE 129",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480558",
            "telephone_number": "480-704-1050",
            "fax_number": "480-704-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIFESTYLE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "WINTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-704-1050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z111783",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Activator Health Center
• Active Friendly Care LLC
• Active Health
• Active Kids Pediatrics, PC
• Active Life Center, PLC
• Active Living PT & Wellness LLC
• Active Vital Care LLC
• Activities for Development, Inc.
• Acumen Medical Group LLC
• Allysa Acuna, OTD, OTR/L

• Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.