Active NPI
Paris Devon Vaughn, DDS
- General Practice Dentistry
- Woodbridge, VA
National Provider Identifier
1659505196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401411660
- Practice address
- 4565 Daisy Reid Ave Ste 210
Woodbridge, VA 22192-5672 - Phone
- (202) 641-4201
- Fax
- (571) 285-2579
- NPI assigned
- May 13, 2009
- Last updated
- Aug 21, 2025
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401411660 | VA | Primary |
Addresses
Primary practice location
4565 Daisy Reid Ave Ste 210
Woodbridge, VA 22192-5672
Mailing address
4565 Daisy Reid Ave Ste 210
Woodbridge, VA 22192-5672
Phone (202) 641-4201
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 |
|---|---|---|---|
| 0401411660 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paris D Vaughn DDS PC | General Practice | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1659505196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4565 DAISY REID AVE STE 210",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221925672",
"telephone_number": "202-641-4201",
"fax_number": "571-285-2579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4565 DAISY REID AVE STE 210",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221925672",
"telephone_number": "202-641-4201",
"fax_number": "571-285-2579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "PARIS",
"middle_name": "DEVON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-13",
"last_updated": "2025-08-21",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401411660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.