Active NPI
Vincent Vaughn
- Dentist
- Bethesda, MD
National Provider Identifier
1205365186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401415666
- Practice address
- 8955 Wood Rd
Bethesda, MD 20889-5611 - Phone
- (301) 295-0064
- NPI assigned
- Jun 5, 2017
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0401415666 | VA | Primary |
Addresses
Primary practice location
8955 Wood Rd
Bethesda, MD 20889-5611
Mailing address
15877 Meherrin Way
Woodbridge, VA 22191-4266
Phone (703) 786-0662
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 |
|---|---|---|---|
| 0401415666 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1205365186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15877 MEHERRIN WAY",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221914266",
"telephone_number": "703-786-0662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8955 WOOD RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208895611",
"telephone_number": "301-295-0064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "VINCENT",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-05",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401415666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.