Organization Active NPI

Harrison Petr Vaughan, DDS, LLC

  • Pediatric Dentistry
  • Harrison, OH
National Provider Identifier
1245033356
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
HARRISON PETR VAUGHAN, DDS, LLC
Practice address
1003 Harrison Ave Ste 300
Harrison, OH 45030-2132
Phone
(513) 367-4048
NPI assigned
Apr 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Petr Alexander Vaughan, DDS
Title
Ceo
Phone
(513) 367-4048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1003 Harrison Ave Ste 300
Harrison, OH 45030-2132

Mailing address

1003 Harrison Ave Ste 300
Harrison, OH 45030-2132

Other names 1

  • Harrison Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1003 Harrison Ave
Ste 300
Harrison, OH 45030
Phone (513) 367-4048

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1245033356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 HARRISON AVE STE 300",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450302132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 HARRISON AVE STE 300",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450302132",
            "telephone_number": "513-367-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON PETR VAUGHAN, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "PETR",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-367-4048",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrison Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrison, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.