Daniel K Vaught, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D008443 Issued in AZ

Practice address

17250 N 43Rd Ave Ste 1
Glendale, AZ 85308-4033

Phone

(602) 938-7751

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jacob D Groom DMD PLLC

  • General Practice Dentistry
  • Vancouver, WA
  • NPI 1699560300
  NPD (past)
• Wendel Family Dental Centre PS

  • General Practice Dentistry
  • Vancouver, WA
  • NPI 1295844900
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1477652857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17250 N 43RD AVE STE 1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084033",
            "telephone_number": "602-938-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17250 N 43RD AVE STE 1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084033",
            "telephone_number": "602-938-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHT",
        "first_name": "DANIEL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5036199",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0141078",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Santiago Vasquez IV, RBT
• Therese Janine Vasquez, SLP
• Vass Inc
• Abhay N Vats, MD
• Cecil Cyrus Vaughn III, M.D.
• Maya Vaysbrot, DO
• Vciswv, LLC
• Johnathan T Veal
• Julie J Vecchio, RPH
• Diana Vega Hernandez, OD

• General Practice Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.