Vyve Wellness Wendover PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VYVE WELLNESS WENDOVER PLLC

Practice address

441 N Wendover Rd
Charlotte, NC 28211-1064

Phone

(704) 362-3305

NPI assigned

Mar 22, 2021

Last updated

Apr 9, 2021By 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. William Christian Haas III, MDNPI 1821357856

Title

Chief Medial Officer

Phone

(828) 712-0102

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Christian Haas, MD

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1821357856
  NPD Authorized official

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1235715145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 TRUMAN RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282053741",
            "telephone_number": "828-712-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 N WENDOVER RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111064",
            "telephone_number": "704-362-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VYVE WELLNESS WENDOVER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "CHIEF MEDIAL OFFICER",
        "authorized_official_telephone_number": "828-712-0102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John F Vullo, MD
• Angela Huynh Vuong
• Theresa Vuskovich, DMD
• Qui Vuu, LCSWA
• Vyve Wellness Charlotte PLLC
• W K Monroe, DDS, PLLC (Randolph Dental Care)
• W. David Christenbery
• W.I.M. LLC
• W.T. Hinnant Artificial Limb Co (Hinnant Prosthetics)
• Johnnie Hamby Waataja, PA-C

• Family Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.