Active NPI
Dynamic Wellness Solutions LLC
Doing business as Dynamic Wellness Solutions
- Registered Dietitian
- Mount Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- DYNAMIC WELLNESS SOLUTIONS LLC
- Doing business as
- Dynamic Wellness Solutions
- Practice address
- 1501 Belle Isle Ave Ste 110
Mount Pleasant, SC 29464-8379 - Phone
- (828) 342-9683
- NPI assigned
- Jul 26, 2023
- Last updated
- Jul 26, 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
- Calen David Pangle, RD
- Title
- Owner/Operator
- Phone
- (828) 342-9683
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
1501 Belle Isle Ave Ste 110
Mount Pleasant, SC 29464-8379
Mailing address
1501 Belle Isle Ave Ste 110
Mount Pleasant, SC 29464-8379
Phone (828) 342-9683
Other names 1
- Dynamic Wellness Solutions
National Provider Directory
National Provider Directory- Tax ID family
- Dynamic Wellness Solutions
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Registered Dietitian
- Mount Pleasant, SC
- NPI 1750241204
Practitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690329600000",
"number": "1942981626",
"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": {
"organization_name": "DYNAMIC WELLNESS SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-26",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A",
"authorized_official_last_name": "PANGLE",
"authorized_official_first_name": "CALEN",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "828-342-9683",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dynamic Wellness Solutions",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.