Robert Lloyd Vaughn III, D.C. ATC. ATR

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5587 Issued in MN

Practice address

10904 Baltimore St NE Ste 103
Blaine, MN 55449-5062

Phone

(763) 242-4271

NPI assigned

Jan 10, 2012

Sex

Male

Sole proprietor

No

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

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Vaughn Chiropractic PLLC

  • Chiropractor
  • Blaine, MN
  • NPI 1023381043
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1316217144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10904 BALTIMORE ST. NE SUITE 1",
            "address_2": "103",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "55449",
            "telephone_number": "763-205-3781",
            "fax_number": "763-205-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10904 BALTIMORE ST NE STE 103",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495062",
            "telephone_number": "763-242-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "ROBERT",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C. ATC. ATR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-10",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nhia Tong Vang
• Tong Vang, DIGITAL HEALTH COACH
• Daniel J Vanhouse, PT
• Vascular Surgery Associates PA
• Vaughn Chiropractic PLLC
• Leonard Verbeke
• Verdan PA
• Anthony Joseph Vertalino, P.T.
• Victory Transport North
• Vision World Inc

• Chiropractor in Blaine, MN
• Providers in Blaine, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.