Individual provider Active NPI

James H Vaughter, D.D.S.

  • General Practice Dentistry
  • Savannah, GA
National Provider Identifier
1609965979
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN011639 Issued in GA
Practice address
5209 Paulsen St
Savannah, GA 31405-4804
Phone
(912) 355-1512
Fax
(912) 355-1218
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150714000243 GA Order and Referring Only - DentistPractitioner - Dentist 3274846738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DWC-P LLC General Practice Past Accepting new patients
Baicbcckmfa LLC PastSince Oct 10, 2021 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN011639 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

5209 Paulsen St
Savannah, GA 31405-4804

Mailing address

5209 Paulsen St
Savannah, GA 31405-4804
Phone (912) 355-1512

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609965979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054804",
            "telephone_number": "912-355-1512",
            "fax_number": "912-355-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054804",
            "telephone_number": "912-355-1512",
            "fax_number": "912-355-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHTER",
        "first_name": "JAMES",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.