Authentic Living Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

TP006128 Issued in MI

Legal business name

AUTHENTIC LIVING CENTER, INC.

Practice address

2525 Crooks Rd Ste 101
Troy, MI 48084-4733

Phone

(248) 822-9253

Fax

(248) 822-9134

NPI assigned

Dec 4, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Theresa M. Pigott, D.C.

Title

Owner

Phone

(248) 822-9253

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1851806582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 CROOKS ROAD",
            "address_2": "STE. #101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844733",
            "telephone_number": "248-822-9253",
            "fax_number": "248-822-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CROOKS RD STE 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844733",
            "telephone_number": "248-822-9253",
            "fax_number": "248-822-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC LIVING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "PIGOTT",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-822-9253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "TP006128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.