Active NPI
Dr. Sid C. Vaught, P.C.
- Chiropractor
- Mustang, OK
National Provider Identifier
1336335801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2003
- Legal business name
- DR. SID C. VAUGHT, P.C.
- Practice address
- 731 E State Highway 152
Mustang, OK 73064-4520 - Phone
- (405) 376-4575
- Fax
- (405) 376-4576
- NPI assigned
- Sep 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sidney Charles Vaught, DC
- Title
- Chiropractor
- Phone
- (405) 376-4575
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2003 | OK | Primary |
Addresses
Primary practice location
731 E State Highway 152
Mustang, OK 73064-4520
Mailing address
731 E State Highway 152
PO Box 666
Mustang, OK 73064-4520
Phone (405) 376-4575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 445480263003 | Other | OK | BLUECROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Chiropractor
- Mustang, OK
- NPI 1043306913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190160000000",
"number": "1336335801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 E STATE HIGHWAY 152",
"address_2": "PO BOX 666",
"city": "MUSTANG",
"state": "OK",
"postal_code": "730644520",
"telephone_number": "405-376-4575",
"fax_number": "405-376-4576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 E STATE HIGHWAY 152",
"city": "MUSTANG",
"state": "OK",
"postal_code": "730644520",
"telephone_number": "405-376-4575",
"fax_number": "405-376-4576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. SID C. VAUGHT, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-19",
"last_updated": "2007-09-19",
"status": "A",
"authorized_official_last_name": "VAUGHT",
"authorized_official_first_name": "SIDNEY",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "405-376-4575",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OK",
"license": "2003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD",
"identifier": "445480263003",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mustang, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.