Active NPI
Haley Ki'Les Vann
- General Practice Dentistry
- Charlotte, NC
National Provider Identifier
1003502832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13277
- Practice address
- 1710 Sardis Rd N
Charlotte, NC 28270-2405 - Phone
- (843) 754-8548
- NPI assigned
- Apr 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13277 | NC | Primary |
Addresses
Primary practice location
1710 Sardis Rd N
Charlotte, NC 28270-2405
Mailing address
5105 Malvasia CT
Summerville, SC 29485-8954
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13277 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766793600000",
"number": "1003502832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5105 MALVASIA CT",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294858954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 SARDIS RD N",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282702405",
"telephone_number": "843-754-8548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANN",
"first_name": "HALEY",
"middle_name": "KI'LES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-14",
"last_updated": "2025-12-27",
"certification_date": "2025-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "13277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.