NPIMap

Organization Active NPI

Dr. Vaughn W Teuscher DDS, PS

Doing business as Two Rivers Dentistry

  • Dentist
  • Vancouver, WA
National Provider Identifier
1326491895
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00006502 Issued in WA
Legal business name
DR. VAUGHN W TEUSCHER DDS, PS
Doing business as
Two Rivers Dentistry
Practice address
2415 SE 165TH Ave Ste 102
Vancouver, WA 98683-4324
Phone
(360) 256-1202
Fax
(360) 885-3580
NPI assigned
Jul 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Dr. Vaughn Wallace Teuscher, DDSNPI 1104821289
Title
Owner
Phone
(360) 256-1202

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE00006502 WA Primary

Addresses

Primary practice location

2415 SE 165TH Ave Ste 102
Vancouver, WA 98683-4324

Mailing address

2415 SE 165TH Ave Ste 102
Vancouver, WA 98683-4324
Phone (360) 256-1202

Other identifiers 1

IdentifierTypeStateIssuer
1104821289MedicaidWA

Other names 1

  • Two Rivers Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2415 SE 165th Ave
Ste 102
Vancouver, WA 98683
Phone (360) 256-1202

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": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1326491895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 SE 165TH AVE STE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834324",
            "telephone_number": "360-256-1202",
            "fax_number": "360-885-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 SE 165TH AVE STE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834324",
            "telephone_number": "360-256-1202",
            "fax_number": "360-885-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. VAUGHN W TEUSCHER DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "TEUSCHER",
        "authorized_official_first_name": "VAUGHN",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-256-1202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00006502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104821289",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Two Rivers Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.