Urbana Wellness Online, Inc

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

URBANA WELLNESS ONLINE, INC

Doing business as

Urbana

Practice address

7510 Pineville Matthews Rd Ste 5B
Charlotte, NC 28226-4076

Phone

(707) 706-0101

NPI assigned

May 17, 2019

Organization subpart

No

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

Authorized official

Name

Maurice Lee

Title

Manager

Phone

(704) 840-7644

Specialties & licenses 1

Addresses

Other names 1

• Urbana Doing business as

Locations

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558051200000",
    "number": "1801452446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 BERWICK CT",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736547",
            "telephone_number": "704-840-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 PINEVILLE MATTHEWS RD STE 5B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264076",
            "telephone_number": "707-706-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7510 Pineville Matthews Rd Ste 5B",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282264076",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "URBANA WELLNESS ONLINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-05-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-840-7644"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urbana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.