Active NPI
William David Vaught, D.C.
- Chiropractor
- Louisville, KY
National Provider Identifier
1265553671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4460
- Practice address
- 8250 Watterson TRL
Suite 2
Louisville, KY 40299-1196 - Phone
- (502) 495-1133
- Fax
- (502) 493-0880
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4460 | KY | Primary |
Addresses
Primary practice location
8250 Watterson TRL
Suite 2
Louisville, KY 40299-1196
Mailing address
8250 Watterson TRL
Suite 2
Louisville, KY 40299-1196
Phone (502) 495-1133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000364388 | Other | KY | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050907000347 | KY | Practitioner - Chiropractic | 1254363716 | Practice locations: Louisville, KY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4460 | KY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vaught Chiropractic PSC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Louisville, KY
- NPI 1295909927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265553671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8250 WATTERSON TRL",
"address_2": "SUITE 2",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402991196",
"telephone_number": "502-495-1133",
"fax_number": "502-493-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8250 WATTERSON TRL",
"address_2": "SUITE 2",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402991196",
"telephone_number": "502-495-1133",
"fax_number": "502-493-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHT",
"first_name": "WILLIAM",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4460",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000364388",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.