Active NPI
Athena Vu DDS PLLC 3
- General Practice Dentistry
- Charlotte, NC
National Provider Identifier
1114619624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- ATHENA VU DDS PLLC 3
- Practice address
- 1520 South Blvd Ste 110
Charlotte, NC 28203-4799 - Phone
- (704) 389-5087
- NPI assigned
- May 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Athena Vu, DDS
- Title
- Owner/Sole Member
- Phone
- (704) 500-1355
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1520 South Blvd Ste 110
Charlotte, NC 28203-4799
Mailing address
16308 Autumn Cove LN
Huntersville, NC 28078-1327
Phone (704) 500-1355
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684800000000",
"number": "1114619624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16308 AUTUMN COVE LN",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280781327",
"telephone_number": "704-500-1355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 SOUTH BLVD STE 110",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282034799",
"telephone_number": "704-389-5087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATHENA VU DDS PLLC 3",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-23",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A",
"authorized_official_last_name": "VU",
"authorized_official_first_name": "ATHENA",
"authorized_official_title_or_position": "OWNER/SOLE MEMBER",
"authorized_official_telephone_number": "704-500-1355",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"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 May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.