Active NPI
Jessica L Vaughn, DDS
- Dentist
- Kansas City, MO
National Provider Identifier
1588004378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 60998
- Practice address
- 5536 NE Antioch Rd
Kansas City, MO 64119-2301 - Phone
- (816) 413-9009
- NPI assigned
- Jun 26, 2013
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 60998 | KS | Primary |
Addresses
Primary practice location
5536 NE Antioch Rd
Kansas City, MO 64119-2301
Mailing address
5536 NE Antioch Rd
Kansas City, MO 64119-2301
Phone (816) 413-9009
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60998 | KS | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vaughn Family Dental | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Independence, MO
- NPI 1083300933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1588004378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5536 NE ANTIOCH RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641192301",
"telephone_number": "816-413-9009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5536 NE ANTIOCH RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641192301",
"telephone_number": "816-413-9009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "JESSICA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-26",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KS",
"license": "60998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.