Petr Alexander Vaughan

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

30026130 Issued in OH

Practice address

6558 Glenway Ave
Cincinnati, OH 45211-4410

Phone

(513) 613-3232

NPI assigned

Apr 8, 2020

Last updated

Oct 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Petr Vaughan, DDS, LLC

  dba Westside Pediatric Dentistry

  • Pediatric Dentistry
  • Cincinnati, OH
  • NPI 1326762550
  NPD Authorized official
• Lebanon Petr Vaughan DDS LLC

  dba Lebanon Pediatric Dentistry

  • Pediatric Dentistry
  • Lebanon, OH
  • NPI 1093696411
  Authorized official Same address or phone
• Milford Lisa Rudolph DMD MPH and Petr Vaughan DDS, LLC

  • Pediatric Dentistry
  • Milford, OH
  • NPI 1407603558
  Authorized official Same address or phone
• Lawrenceburg Taylor Guth DDS and Petr Vaughan DDS LLC

  • Pediatric Dentistry
  • Greendale, IN
  • NPI 1790611077
  Authorized official Same address or phone
• Cincy Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Liberty Township, OH
  • NPI 1912547811
  NPD

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1316576556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 WAKEFIELD PL",
            "city": "NORWOOD",
            "state": "OH",
            "postal_code": "452121737",
            "telephone_number": "937-245-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6558 GLENWAY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452114410",
            "telephone_number": "513-613-3232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Burnet Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452293026",
            "country_code": "US",
            "telephone_number": "937-245-0390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4881 Cooper Rd",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452426902",
            "country_code": "US",
            "telephone_number": "513-891-0660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "PETR",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30026130",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Vaughan, MD
• Erin Rachel Marie Vaughan, MD
• Jennifer E. Vaughan, M.D.
• Jessica Kathleen Vaughan, MD
• Mary Margaret Habel Vaughan, DDS
• Ryan Vaughan
• Aaron J. Vaughn, PHD
• Darnell Marie Vaughn
• Diarra Vaughn
• Donna Rae Vaughn, LPN

• Pediatric Dentistry in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.