Active NPI
Robert William Vaughn, D.C.
- Chiropractor
- Paxton, IL
National Provider Identifier
1447297668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-009135
- Practice address
- 1502 W Ottawa St
Paxton, IL 60957-4090 - Phone
- (217) 379-3400
- Fax
- (217) 379-3444
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-009135 | IL | Primary |
Addresses
Primary practice location
1502 W Ottawa St
Paxton, IL 60957-4090
Mailing address
1502 W Ottawa St
P.O. Box 311
Paxton, IL 60957-4090
Phone (217) 379-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1026618 | Other | IL | BLUE CROSS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-009135 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410134400000",
"number": "1447297668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 W OTTAWA ST",
"address_2": "P.O. BOX 311",
"city": "PAXTON",
"state": "IL",
"postal_code": "609574090",
"telephone_number": "217-379-3400",
"fax_number": "217-379-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 W OTTAWA ST",
"city": "PAXTON",
"state": "IL",
"postal_code": "609574090",
"telephone_number": "217-379-3400",
"fax_number": "217-379-3444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "ROBERT",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2014-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-009135",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1026618",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paxton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.