Vaughn a. Lee DDS Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24471 Issued in CA

Legal business name

VAUGHN A. LEE DDS INC.

Practice address

373 Ninth St.
Suite 401
Oakland, CA 94607-6516

Phone

(510) 834-4640

Fax

(510) 834-8328

NPI assigned

Dec 4, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Vaughn Anthony Lee, DDSNPI 1376603100

Title

President

Phone

(510) 834-4640

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vaughn Anthony Lee, DDS

  • General Practice Dentistry
  • Oakland, CA
  • NPI 1376603100
  NPD (past) Authorized official
• Elisa Ling Kuo, D.D.S.

  • Dentist
  • Oakland, CA
  • NPI 1861608358
  NPD (past)

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1104161074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 NINTH ST.",
            "address_2": "SUITE 401",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946076516",
            "telephone_number": "510-834-4640",
            "fax_number": "510-834-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 NINTH ST.",
            "address_2": "SUITE 401",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946076516",
            "telephone_number": "510-834-4640",
            "fax_number": "510-834-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAUGHN A. LEE DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "VAUGHN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-834-4640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B24471-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Vassallo-Deluca, M.D.
• George Vassiliades, MFT
• David W Vastine, M.D.
• Alan Gregory Vaughan, PH.D., JD
• Heather Elizabeth Vaughan
• Surmiche Vaughn, CMT
• Isabella Vavra
• Akilah V Vazquez, MFT
• Angel Vazquez
• Armando Vazquez

• General Practice Dentistry in Oakland, CA
• Providers in Oakland, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.