Individual provider Active NPI

Connor Vaughan, DMD

  • Prosthodontics
  • North Little Rock, AR
National Provider Identifier
1023748142
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
4798 Issued in AR
Practice address
2501 Crestwood Rd Ste 300
North Little Rock, AR 72116-7617
Phone
(501) 319-7520
NPI assigned
Jun 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NC
Prosthodontics 1223P0700X 4798 AR Primary

Addresses

Primary practice location

2501 Crestwood Rd Ste 300
North Little Rock, AR 72116-7617

Mailing address

2501 Crestwood Rd Ste 300
North Little Rock, AR 72116-7617

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address connorv@unc.edu Direct University of North Carolina Chapel Hill
Direct Messaging Address vaughan@ozarkpros.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4798ARMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina Chapel Hill Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1023748142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 CRESTWOOD RD STE 300",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 CRESTWOOD RD STE 300",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167617",
            "telephone_number": "501-319-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "CONNOR",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-13",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "AR",
            "license": "4798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "connorv@unc.edu",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "University of North Carolina Chapel Hill",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "Manning Dr & Columbia St",
            "address_2": "UNC School of Dentistry -Department of Prosthodontics",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275997450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vaughan@ozarkpros.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "2501 Crestwood Rd Ste 300",
            "city": "North Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "721167617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.