Individual provider Active NPI

Lauren Nicole Stella Vaughn, DMD

  • Dentist
  • Temple, TX
National Provider Identifier
1780130427
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
32107 Issued in TX
Practice address
1601 Forest TRL
Temple, TX 76502-2715
Phone
(254) 778-3002
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32107 TX Primary

Addresses

Primary practice location

1601 Forest TRL
Temple, TX 76502-2715

Mailing address

7813 Old Gate Road
Temple, TX 76502

Other identifiers 1

IdentifierTypeStateIssuer
32107OtherTX32107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180212000551 TX Order and Referring Only - DentistPractitioner - Dentist 1456611565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32107TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Carus Dental PC PastSince Jan 26, 2022 Accepting new patients
Longhorn Dental Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1780130427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7813 OLD GATE ROAD",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "76502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 FOREST TRL",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765022715",
            "telephone_number": "254-778-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "LAUREN",
        "middle_name": "NICOLE STELLA",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "32107",
            "identifier": "32107",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.