Active NPI
Amiee M. Vaughn, D.M.D.
- Dentist
- Jupiter, FL
National Provider Identifier
1174907695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22192
- Practice address
- 651 W Indiantown Rd Ste a
Jupiter, FL 33458-7557 - Phone
- (561) 747-7172
- NPI assigned
- Jul 14, 2015
- Last updated
- Apr 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9633 | KY | |
| Dentist | 122300000X | 22192 | FL | Primary |
Addresses
Primary practice location
651 W Indiantown Rd Ste a
Jupiter, FL 33458-7557
Mailing address
651 W Indiantown Rd Ste a
Jupiter, FL 33458-7557
Phone (561) 747-7172
Other practice location 1
5455 Murrell Rd
#108
Rockledge, FL 32955-6615
Phone (321) 631-9395
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9633 | KY | MD | Dentist |
| 22192 | FL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dental Concepts of Jupiter, Inc. | Past | Accepting new patients | |
| Smile Viera | Dentist | Past | Accepting new patients |
| Sleep Viera Treatment LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Jupiter, FL
- NPI 1215943006
-
- Dentist
- Rockledge, FL
- NPI 1225573066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554681600000",
"number": "1174907695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 W INDIANTOWN RD STE A",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587557",
"telephone_number": "561-747-7172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 W INDIANTOWN RD STE A",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587557",
"telephone_number": "561-747-7172"
}
],
"practiceLocations": [
{
"address_1": "5455 Murrell Rd",
"address_2": "#108",
"address_purpose": "LOCATION",
"city": "Rockledge",
"state": "FL",
"postal_code": "329556615",
"country_code": "US",
"telephone_number": "321-631-9395",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAUGHN",
"first_name": "AMIEE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-14",
"last_updated": "2019-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "9633",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "22192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.