Active NPI
Joseph Vaughn II, DMD
- Dentist
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401417394
- Practice address
- 520 N 12TH St
Richmond, VA 23298-5064 - Phone
- (804) 828-6083
- NPI assigned
- Mar 8, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60659057 | WA | |
| Dentist | 122300000X | 0401417394 | VA | Primary |
Addresses
Primary practice location
520 N 12TH St
Richmond, VA 23298-5064
Mailing address
2121 Grove Ave Apt 4
Richmond, VA 23220-4561
Phone (256) 609-1456
Other practice location 1
1215 Lee St
Charlottesville, VA 22908-5064
Phone (434) 924-1774
Other practice location 2
1222 Jefferson Park Ave
Charlottesville, VA 22903-3410
Phone (434) 924-1774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60659057 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Neighborcare Health | Past | Accepting new patients | |
| Neighborcare Health | Dentist | Past | Accepting new patients |
Locations
1204 W Main St
Charlottesville, VA 22903
Phone (434) 924-0123
1222 Jefferson Park Ave
Fl 2
Charlottesville, VA 22903
Phone (434) 924-1774
1222 Jefferson Park Ave
Charlottesville, VA 22903
Phone (434) 924-1774
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211
Interoperability endpoints
- jvaughn616038@direct.healthsystem.virginia.edu
Organizations & group practices 3
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.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
dba Neighborcare Health - School Based Dental
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1104161496
-
dba Neighborcare Health at Pacific Tower Dental
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1982052874
Dentist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775779200000",
"number": "1841683364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 GROVE AVE APT 4",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232204561",
"telephone_number": "256-609-1456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 N 12TH ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985064",
"telephone_number": "804-828-6083"
}
],
"practiceLocations": [
{
"address_1": "1215 Lee St",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229085064",
"country_code": "US",
"telephone_number": "434-924-1774",
"fax_number": "434-243-6378",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1222 Jefferson Park Ave",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229033410",
"country_code": "US",
"telephone_number": "434-924-1774",
"fax_number": "434-243-6378",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAUGHN",
"first_name": "JOSEPH",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-08",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60659057",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401417394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.