Kenneth D. Vaughn, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2537 Issued in NV

Practice address

5901 Los Altos Pkwy
Suite 100
Sparks, NV 89436-7666

Phone

(775) 626-7772

Fax

(775) 626-7811

NPI assigned

Sep 26, 2006

Last updated

Jul 21, 2022By the provider in NPPES

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

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kenneth D. Vaughn DDS, PLLC

  • General Practice Dentistry
  • Sparks, NV
  • NPI 1295140622
  Authorized official Same address or phone

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023119567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 LOS ALTOS PKWY",
            "address_2": "SUITE 100",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894367666",
            "telephone_number": "775-626-7772",
            "fax_number": "775-626-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 LOS ALTOS PKWY",
            "address_2": "SUITE 100",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894367666",
            "telephone_number": "775-626-7772",
            "fax_number": "775-626-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "KENNETH",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "2537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Vasquez
• Kristina Vasquez
• Sally Vatte
• Vaughn & Newell DDS, LTD
• Danielle Vaughn
• Odette Valeria Vazquez-Lopez
• Julissa Del Carmen Vazquez-Partida
• Hector Vazquez
• Jose F Vazquez
• Julie Vazquez

• General Practice Dentistry in Sparks, NV
• Providers in Sparks, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.