Active NPI
Robert A. Vaught, D.M.D.,M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Richmond Hill, GA
National Provider Identifier
1033412036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 11121
- Practice address
- 2701 US Highway 17
Suite 2B
Richmond Hill, GA 31324-3799 - Phone
- (912) 756-2309
- NPI assigned
- Dec 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 11121 | GA | Primary |
Addresses
Primary practice location
2701 US Highway 17
Suite 2B
Richmond Hill, GA 31324-3799
Mailing address
PO Box 1918
Richmond Hill, GA 31324-1918
Phone (912) 756-2309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 813625 | Other | GA | UNITED CONCORDIA |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11121 | GA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334793600000",
"number": "1033412036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1918",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313241918",
"telephone_number": "912-756-2309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 US HIGHWAY 17",
"address_2": "SUITE 2B",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313243799",
"telephone_number": "912-756-2309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHT",
"first_name": "ROBERT",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.M.D.,M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-13",
"last_updated": "2012-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "11121",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "813625",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond Hill, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.