Active NPI
Robert D Vaughan, DDS
- General Practice Dentistry
- Huntersville, NC
National Provider Identifier
1053457317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6902
- Practice address
- 16600 Birkdale CMNS Pkwy
Suite a
Huntersville, NC 28078-6181 - Phone
- (704) 655-8008
- Fax
- (704) 655-8007
- NPI assigned
- Jan 30, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6902 | NC | Primary |
Addresses
Primary practice location
16600 Birkdale CMNS Pkwy
Suite a
Huntersville, NC 28078-6181
Mailing address
16600 Birkdale CMNS Pkwy
Suite a
Huntersville, NC 28078-6181
Phone (704) 655-8008
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053457317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16600 BIRKDALE CMNS PKWY",
"address_2": "SUITE A",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280786181",
"telephone_number": "704-655-8008",
"fax_number": "704-655-8007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16600 BIRKDALE CMNS PKWY",
"address_2": "SUITE A",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280786181",
"telephone_number": "704-655-8008",
"fax_number": "704-655-8007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHAN",
"first_name": "ROBERT",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "6902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntersville, NC
- Molly Vaccaro, MS, CCC-SLP
- Cheryl A. Vadakin-Salvati
- Julie Ann Vanhoy, PTA
- Jordan Ramsay Vanlandingham
- Amanda Marie Varghese, NP
- Vein Center of Lake Norman PA
- Vein Centers for Excellence of Charlotte, Inc.
- Sandhya Ventrapragada, MD
- Village Run Inc. (Village Run Home Medical Equipment)
- Vista Health and Wellness, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.