Active NPI
Denty Paul Vaughn Jr., DVM
- Veterinarian
- Mississippi State, MS
National Provider Identifier
1699177477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 2052
- Practice address
- 240 Wise Center Dr
Mississippi State, MS 39762 - Phone
- (662) 325-3432
- NPI assigned
- Sep 23, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 2052 | MS | Primary |
| Veterinarian | 174M00000X | 6328 | AL | |
| Veterinarian | 174M00000X | 12111 | FL |
Addresses
Primary practice location
240 Wise Center Dr
Mississippi State, MS 39762
Mailing address
PO Box 6100
240 Wise Center Dr
Mississippi State, MS 39762
Phone (662) 325-3432
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 |
|---|---|---|---|
| 2052 | MS | MD | Counselor |
| 12111 | FL | MD | Pediatric Chiropractor |
| 6328 | AL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1699177477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6100",
"address_2": "240 WISE CENTER DR",
"city": "MISSISSIPPI STATE",
"state": "MS",
"postal_code": "39762",
"telephone_number": "662-325-3432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 WISE CENTER DR",
"city": "MISSISSIPPI STATE",
"state": "MS",
"postal_code": "39762",
"telephone_number": "662-325-3432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "DENTY",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DVM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-23",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "MS",
"license": "2052",
"primary": true
},
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "AL",
"license": "6328",
"primary": false
},
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "FL",
"license": "12111",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mississippi State, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.