Individual provider Active NPI

Jennifer Renee Winton, DC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1255444055
Registry record updated Jan 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7750 Issued in AZ
Practice address
16515 S 40TH St Ste 131
Phoenix, AZ 85048-0560
Phone
(480) 704-1050
Fax
(480) 704-0109
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7750 AZ Primary

Addresses

Primary practice location

16515 S 40TH St Ste 131
Phoenix, AZ 85048-0560

Mailing address

16515 S 40TH St Ste 131
Phoenix, AZ 85048-0560
Phone (480) 704-1050

Other names 1

  • Jennifer Renee West Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061106000164 AZ Practitioner - Chiropractic 1557357761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16515 S 40TH St
Phoenix, AZ 85048-0560
Phone (480) 704-1050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7750AZMDChiropractor
29209CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Active Lifestyle Chiropractic Chiropractor CurrentSince Mar 16, 2012 Accepting new patients
Harvey Chiropractic Center Inc. Chiropractor Past Accepting new patients
Texas Alpha Wellness Center, PC Chiropractor Past Accepting new patients
Mountainside Wellness Center Inc Chiropractor PastSince Nov 12, 2023 Accepting new patients

Locations

16515 S 40th St
Ste 129
Phoenix, AZ 85048
Phone (480) 704-1050

16515 S 40th St
Ste 131
Phoenix, AZ 85048
Phone (480) 598-1357

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546732800000",
    "number": "1255444055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16515 S 40TH ST STE 131",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480560",
            "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 STE 131",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480560",
            "telephone_number": "480-704-1050",
            "fax_number": "480-704-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTON",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2019-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WEST",
            "middle_name": "RENEE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.