Active NPI
Janet L Vaughan, DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Corpus Christi, TX
National Provider Identifier
1356460042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 10019
- Practice address
- 4461 S Staples St
Corpus Christi, TX 78411-2601 - Phone
- (361) 992-8161
- Fax
- (361) 992-9075
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 10019 | TX | Primary |
Addresses
Primary practice location
4461 S Staples St
Corpus Christi, TX 78411-2601
Mailing address
4461 S Staples St
Corpus Christi, TX 78411-2601
Phone (361) 992-8161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10019 | Other | TX | STATE DENTAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10019 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356460042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4461 S STAPLES ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784112601",
"telephone_number": "361-992-8161",
"fax_number": "361-992-9075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4461 S STAPLES ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784112601",
"telephone_number": "361-992-8161",
"fax_number": "361-992-9075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHAN",
"first_name": "JANET",
"middle_name": "L",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "10019",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DENTAL LICENSE",
"identifier": "10019",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.