Individual provider Active NPI

David Jon Lewandowski, DC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1861961690
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9247 Issued in AZ
Practice address
4041 N Central Ave BLDG C
Phoenix, AZ 85012-3313
Phone
(602) 279-5262
NPI assigned
Nov 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9247 AZ Primary

Addresses

Primary practice location

4041 N Central Ave BLDG C
Phoenix, AZ 85012-3313

Mailing address

PO Box 531
Page, AZ 86040-0531
Phone (989) 351-9349

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231219001430 AZ Practitioner - Chiropractic 3375993215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Native HealthGroup PAC ID 4385738418, 21 clinicians

Practice addresses (Care Compare)

4041 N Central Ave
BLDG C
Phoenix, AZ 85012-3313
Phone (602) 279-5262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9247AZMDChild Mental Illness Respite Care

Practice roles

OrganizationSpecialtyStatusNew patients
Native Health CurrentSince Oct 13, 2025 Accepting new patients
Native Health CurrentSince Oct 13, 2025 Accepting new patients
Active Wellness, LLC Chiropractor Past Accepting new patients
MVP Chiropractic, LLC Chiropractor PastSince Nov 1, 2020 Accepting new patients
Active Wellness LLC Chiropractor Past Accepting new patients

Locations

777 W Southern Ave
Ste 501
Mesa, AZ 85210
Phone (480) 550-4048

4041 N Central Ave
Bldg C
Phoenix, AZ 85012
Phone (602) 679-5262

8800 N 22nd Ave
Phoenix, AZ 85021
Phone (602) 279-5351

Interoperability endpoints

  • Direct secure messaging: david.lewandowski.p1@direct.canyonlands.nextgenshare.com
  • Direct secure messaging: david.lewandowski.p1@direct.nachci.nextgenshare.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1542844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1861961690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "860400531",
            "telephone_number": "989-351-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 N CENTRAL AVE BLDG C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123313",
            "telephone_number": "602-279-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWANDOWSKI",
        "first_name": "DAVID",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-22",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "9247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 24, 2025; 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.