Dustin L. Vaughan, MSOM, DIPL. O.M., AP

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP4214 Issued in FL

Practice address

835 7TH St Unit 1
Clermont, FL 34711-2190

Phone

(352) 901-4513

NPI assigned

Jan 12, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Precision Integrative Medicine, LLC

  • Acupuncturist
  • Clermont, FL
  • NPI 1437749660
  NPD Authorized official

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1265021554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 W MINNEOLA AVE UNIT 121262",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347127052",
            "telephone_number": "352-901-4513",
            "fax_number": "352-404-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 7TH ST UNIT 1",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112190",
            "telephone_number": "352-901-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "DUSTIN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MSOM, DIPL. O.M., AP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-02-23",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP4214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Vargas
• Amit Bhushan Varma, MD
• Vascular Specialists of Central Florida
• Lydia Vasquez
• Shelley Vasquez, PTA
• Maria de Las Mercedes Vazquez Torres, M.D.
• Antoinette Sharee' Vazquez
• Beatriz Melissa Vazquez
• Angelica Vega, LMHC
• Sandra Vela, LMT

• Acupuncturist in Clermont, FL
• Providers in Clermont, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.