Active NPI
Charles H Vaughn, D.P.M.
- Podiatrist
- Denver, CO
National Provider Identifier
1164573531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 435
- Practice address
- 8335 Fairmount Drive
BLDG 2, Unit 207
Denver, CO 80247 - Phone
- (303) 370-2271
- Fax
- (303) 830-0545
- NPI assigned
- Jan 14, 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 435 | CO | Primary |
Addresses
Primary practice location
8335 Fairmount Drive
BLDG 2, Unit 207
Denver, CO 80247
Mailing address
8335 Fairmount Drive
BLDG 2, Unit 207
Denver, CO 80247
Phone (303) 370-2271
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01004357 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041228000736 | CO | Practitioner - Podiatry | 9032177738 | Practice locations: Yuma, CO; Denver, CO; Brush, CO |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 435 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428451200000",
"number": "1164573531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8335 FAIRMOUNT DRIVE",
"address_2": "BLDG 2, UNIT 207",
"city": "DENVER",
"state": "CO",
"postal_code": "80247",
"telephone_number": "303-370-2271",
"fax_number": "303-830-0545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8335 FAIRMOUNT DRIVE",
"address_2": "BLDG 2, UNIT 207",
"city": "DENVER",
"state": "CO",
"postal_code": "80247",
"telephone_number": "303-370-2271",
"fax_number": "303-830-0545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "CHARLES",
"middle_name": "H",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-14",
"last_updated": "2015-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CO",
"license": "435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01004357",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.