Dr Joseph G Vaughan DDS Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

3268 Issued in WV

Legal business name

DR JOSEPH G VAUGHAN DDS INC.

Practice address

294 Seneca TRL
Ronceverte, WV 24970-1342

Phone

(304) 645-2333

Fax

(304) 647-5932

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Renee Bostic

Title

Business Coordinator

Phone

(304) 645-2333

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Gatens Vaughan, DDS, INC

  • General Practice Dentistry
  • Ronceverte, WV
  • NPI 1972523678
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225149362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 SENECA TRL",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701342",
            "telephone_number": "304-645-2333",
            "fax_number": "304-647-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 SENECA TRL",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701342",
            "telephone_number": "304-645-2333",
            "fax_number": "304-647-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOSEPH G VAUGHAN DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOSTIC",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "BUSINESS COORDINATOR",
        "authorized_official_telephone_number": "304-645-2333"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WV",
            "license": "3268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA ID #",
            "identifier": "804538",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0134332000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dermatology Centers Inc.
• Crystal D Dixon-Largen, OT
• Mary Nicole Dolan, RN
• Travis Dolan
• Jonathan Aaron Donahue, D.O.
• William S Dukart, MD
• Eleane Barboza Dumaguin, PT, DPT
• Sarah Elizabeth Easton
• Romeo R Ednacot, MD
• Stephanie A. Elmore, OT

• Dental Clinic/Center in Ronceverte, WV
• Providers in Ronceverte, WV by specialty
• Dental Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.