Organization Active NPI

Dr. Sid C. Vaught, P.C.

  • Chiropractor
  • Mustang, OK
National Provider Identifier
1336335801
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2003 Issued in OK
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

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Dr. Sidney Charles Vaught, DCNPI 1043306913
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
445480263003OtherOKBLUECROSS BLUE SHIELD

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": "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.

Verify at the official NPI Registry.