Calen David Pangle, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LRD.1401 Issued in SC

Practice address

1501 Belle Isle Ave Ste 110
Mount Pleasant, SC 29464-8379

Phone

(828) 342-9683

NPI assigned

Mar 12, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dynamic Wellness Solutions LLC

  • Registered Dietitian
  • Mount Pleasant, SC
  • NPI 1750241204

  Dietitian, Registered

  NPD Authorized official
• Dynamic Wellness Solutions LLC

  dba Dynamic Wellness Solutions

  • Registered Dietitian
  • Mount Pleasant, SC
  • NPI 1942981626

  Dietitian, Registered

  NPD Authorized official
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1104684299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BELLE ISLE AVE STE 110",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648379",
            "telephone_number": "828-342-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BELLE ISLE AVE STE 110",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648379",
            "telephone_number": "828-342-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGLE",
        "first_name": "CALEN",
        "middle_name": "DAVID",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "LRD.1401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palmetto Specialty Pharm LLC (Palmetto Pharm)
• Palmetto Therapeutic Medicine LLC
• Palmetto Women's Health, PC
• Palmetto Women's Health, PC
• Alice Johanna Palumbo, RT (R) (MR)
• Demetrios A Papadopoulos, MD
• Paper Crane Wellness, LLC
• Michele Lynn Pappas
• Sophie Ann Mills Paquette, LISW-CP
• Luke Parham

• Registered Dietitian in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Registered Dietitian in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.