NPIMap

Organization Active NPI

Michael D. Vaughan, DDS, PLC

  • Dental Clinic/Center
  • Nashville, TN
National Provider Identifier
1730502444
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
005342 Issued in TN
Legal business name
MICHAEL D. VAUGHAN, DDS, PLC
Practice address
2125 Blakemore Ave
Nashville, TN 37212-3505
Phone
(615) 383-3690
Fax
(615) 383-3697
NPI assigned
Jan 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Darren Vaughan, DDS
Title
Owner
Phone
(615) 383-3690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 005342 TN Primary

Addresses

Primary practice location

2125 Blakemore Ave
Nashville, TN 37212-3505

Mailing address

2125 Blakemore Ave
Nashville, TN 37212-3505
Phone (615) 383-3690

National Provider Directory

National Provider Directory

Locations

2125 Blakemore Ave
Nashville, TN 37212
Phone (615) 383-3690

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1730502444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 BLAKEMORE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123505",
            "telephone_number": "615-383-3690",
            "fax_number": "615-383-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 BLAKEMORE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123505",
            "telephone_number": "615-383-3690",
            "fax_number": "615-383-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. VAUGHAN, DDS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-383-3690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "005342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.