David A. Vaughan, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

3160 Issued in ME

Practice address

1250 Forest Ave.
Portland, ME 04103-1889

Phone

(207) 878-6693

Fax

(207) 878-6678

NPI assigned

Jun 23, 2009

Sex

Male

Sole proprietor

No

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

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1114155652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 FOREST AVE.",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031889",
            "telephone_number": "207-878-6693",
            "fax_number": "207-878-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 FOREST AVE.",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031889",
            "telephone_number": "207-878-6693",
            "fax_number": "207-878-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "DAVID",
        "middle_name": "A.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "3160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198750000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Vantassel, M.A., LCMHC
• Michael Varhol, RN
• Kyle Varoskovic, DPT
• Adarsh Vasanth, M.D.
• Carol M Vaughan, MD
• O'Neal Vaz, DO
• Eric Charles Roger Vecchio, MD
• Laura Vecchio, MT
• David Paul Veillette, LADC & LMSW-CC
• Natalie Harmon Veilleux, LCPC

• Dentist in Portland, ME
• Providers in Portland, ME by specialty
• Dentist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.