Nadine Lynn Vaughan, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

G10001078 Issued in DE

Practice address

2018 Naamans Rd
Suite 2
Wilmington, DE 19810-2659

Phone

(302) 475-3743

Fax

(302) 475-7110

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053466250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 NAAMANS RD",
            "address_2": "SUITE 2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198102659",
            "telephone_number": "302-475-3743",
            "fax_number": "302-475-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 NAAMANS RD",
            "address_2": "SUITE 2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198102659",
            "telephone_number": "302-475-3743",
            "fax_number": "302-475-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "NADINE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G10001078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000909508",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mansi Shah Vasconcellos, MD
• Miriel Vasquez-Castro
• Tedi Vatnika
• Kristina Vattai, PTA
• Anthony W. Vattilana, DDS
• Keesha D. Vaughn, MD
• Amanda Kaye Vaught, MPT
• Erika Vazquez, B.S., COTA/L
• Maria F Velasco, DMD
• Aliyah Monique Veltz

• General Practice Dentistry in Wilmington, DE
• Providers in Wilmington, DE by specialty
• General Practice Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.