NPIMap

Organization Active NPI

Kenneth D. Vaughn DDS, PLLC

  • General Practice Dentistry
  • Sparks, NV
National Provider Identifier
1295140622
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2537 Issued in NV
Legal business name
KENNETH D. VAUGHN DDS, PLLC
Practice address
5901 S Los Altos Pkwy
Suite 100
Sparks, NV 89436-8616
Phone
(775) 626-7772
NPI assigned
Jun 24, 2014
Last updated
Jun 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Mr. Kenneth Dean Vaughn, D.D.S.NPI 1023119567
Title
Owner
Phone
(775) 626-7772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2537 NV Primary

Addresses

Primary practice location

5901 S Los Altos Pkwy
Suite 100
Sparks, NV 89436-8616

Mailing address

5901 S Los Altos Pkwy
Suite 100
Sparks, NV 89436-8616
Phone (775) 626-7772

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1295140622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 S LOS ALTOS PKWY",
            "address_2": "SUITE 100",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894368616",
            "telephone_number": "775-626-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 S LOS ALTOS PKWY",
            "address_2": "SUITE 100",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894368616",
            "telephone_number": "775-626-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH D. VAUGHN DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-626-7772",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "2537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.