Vaughn Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5587 Issued in MN

Legal business name

VAUGHN CHIROPRACTIC PLLC

Doing business as

Healthsource of Blaine Chiropractic & Progressive Rehab

Practice address

10904 Baltimore St NE
Ste 103
Blaine, MN 55449-5061

Phone

(763) 205-3781

NPI assigned

Feb 22, 2012

Last updated

Feb 22, 2012By 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

Robert L Vaughn, DCNPI 1316217144

Title

Owner

Phone

(763) 205-3781

Specialties & licenses 1

Addresses

Other names 1

• HEALTHSOURCE OF BLAINE CHIROPRACTIC & PROGRESSIVE REHAB Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

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.

• Robert Lloyd Vaughn III, D.C. ATC. ATR

  • Chiropractor
  • Blaine, MN
  • NPI 1316217144
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1023381043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10904 BALTIMORE ST NE",
            "address_2": "STE 103",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495061",
            "telephone_number": "763-205-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10904 BALTIMORE ST NE",
            "address_2": "STE 103",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495061",
            "telephone_number": "763-205-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAUGHN CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-205-3781",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHSOURCE OF BLAINE CHIROPRACTIC & PROGRESSIVE REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christelle Vang, D.C.
• Nhia Tong Vang
• Tong Vang, DIGITAL HEALTH COACH
• Daniel J Vanhouse, PT
• Vascular Surgery Associates PA
• Robert Lloyd Vaughn III, D.C. ATC. ATR
• Leonard Verbeke
• Verdan PA (Community Chiropractic Center)
• Anthony Joseph Vertalino, P.T.
• Victory Transport North

• Chiropractor in Blaine, MN
• Providers in Blaine, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.