NPIMap

Organization Active NPI

Keith E. Vaughan, PLLC

  • General Practice Dentistry
  • Yorktown, VA
National Provider Identifier
1285007633
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401412135 Issued in VA
Legal business name
KEITH E. VAUGHAN, PLLC
Practice address
6521 George Washington Mem Hwy
Yorktown, VA 23692-2169
Phone
(757) 898-3366
Fax
(757) 898-7390
NPI assigned
Nov 6, 2015
Organization subpart
Yes
Parent organization
ATLANTIC DENTAL CARE, PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Authorized official

Name
Dr. Keith E. Vaughan, DDSNPI 1457511420
Title
Dentist
Phone
(757) 898-3366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 0401412135 VA Primary

Addresses

Primary practice location

6521 George Washington Mem Hwy
Yorktown, VA 23692-2169

Mailing address

6521 George Washington Mem Hwy
P.O. Box 1207
Yorktown, VA 23692-2169
Phone (757) 898-3366

Other names 1

  • a division of Atlantic Dental Care Doing business as

National Provider Directory

National Provider Directory
Part of
Melvin E Cruser III DDS

Locations

6521 George Washington Mem Hwy
Yorktown, VA 23692
Phone (757) 898-3366

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1285007633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6521 GEORGE WASHINGTON MEM HWY",
            "address_2": "P.O. BOX 1207",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922169",
            "telephone_number": "757-898-3366",
            "fax_number": "757-898-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6521 GEORGE WASHINGTON MEM HWY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922169",
            "telephone_number": "757-898-3366",
            "fax_number": "757-898-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH E. VAUGHAN, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC DENTAL CARE, PLC",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-898-3366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "a division of Atlantic Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yorktown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.