Conrad Scott Vaughan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC1753 Issued in TN

Practice address

312 Prosperity Rd
Suite 101
Knoxville, TN 37923-4721

Phone

(865) 691-3155

Fax

(865) 694-8093

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apple Healthcare Group PC 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Apple Healthcare Group, PC

  • Physical Medicine & Rehabilitation Physician
  • Knoxville, TN
  • NPI 1396939799

  Chiropractor, TN

  Medicare reassignment Care Compare group NPD
• Apple Healthcare Group

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1497050033
  NPD

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1821032335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 BALL CAMP PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379213313",
            "telephone_number": "865-524-1234",
            "fax_number": "865-524-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 PROSPERITY RD",
            "address_2": "SUITE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234721",
            "telephone_number": "865-691-3155",
            "fax_number": "865-694-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "CONRAD",
        "middle_name": "SCOTT",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC1753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "003156082",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Vasquez
• Jennifer Renee Vasquez, LPN
• Rhodora B Vasquez, MD
• Angela Vatrano
• Ainsley Vaughan
• Joseph K Vaughan Jr., M.D.
• Judith Vaughan, RN
• William Glaze Vaughan, MD
• Caroline Foster Vaughn, N.P.
• Emily Vaughn

• All providers in Knoxville, TN
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.