Dorothy Vaughn Vincent, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Practice address

1429 E Marion St
Suite 5
Shelby, NC 28150-4986

Phone

(704) 480-5440

Fax

(704) 480-5477

NPI assigned

Mar 27, 2007

Sex

Female

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)

Not enrolled

Credentials

Doctor of Medicine

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.

• NC DHHS Child and Family Well-Being

  • Early Intervention Provider Agency
  • Shelby, NC
  • NPI 1679798029
  NPD (past)

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": "1568580306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 E MARION ST",
            "address_2": "SUITE 5",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504986",
            "telephone_number": "704-480-5440",
            "fax_number": "704-480-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 E MARION ST",
            "address_2": "SUITE 5",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504986",
            "telephone_number": "704-480-5440",
            "fax_number": "704-480-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "DOROTHY",
        "middle_name": "VAUGHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "128N5",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89128N5",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellie Robinson Vanhoy, PA
• Bradley Duane Vaughn, LCMHC
• Rajesh Kumar Veeravally, MD
• Janelle Marie Velasco
• Venture Therapy PLLC
• Kimberly Dale Vinesett, NCCPSS, CADC
• Vision Boutique Inc
• Vision Boutique Inc
• Voca Corporation of North Carolina, Inc.
• Katrina Vogt, BSN, RN, CDCES

• Pediatrics Physician in Shelby, NC
• Providers in Shelby, NC by specialty
• Pediatrics Physician in North Carolina

• 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.

Verify at the official NPI Registry.