Agape Chiro Med of Michigan, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009820 Issued in MI

Legal business name

AGAPE CHIRO MED OF MICHIGAN, LLC

Practice address

1029 E Saginaw Street
Lansing, MI 48906

Phone

(561) 367-1333

Fax

(561) 367-1333

NPI assigned

Nov 21, 2012

Last updated

Nov 21, 2012By 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. Sal James Pellegrino, D.C.

Title

Owner

Phone

(561) 367-1333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1154665677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 NE 32ND ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316918",
            "telephone_number": "561-367-1333",
            "fax_number": "564-136-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 E SAGINAW STREET",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48906",
            "telephone_number": "561-367-1333",
            "fax_number": "561-367-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE CHIRO MED OF MICHIGAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "PELLEGRINO",
        "authorized_official_first_name": "SAL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-367-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.