Active NPI
Joseph Mike Vaughn, D.C.
- Chiropractor
- Leander, TX
National Provider Identifier
1912085531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2640
- Practice address
- 409 South West Street
Leander, TX 78641-1806 - Phone
- (512) 694-6731
- NPI assigned
- Nov 1, 2006
- Last updated
- May 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2640 | TX | Primary |
Addresses
Primary practice location
409 South West Street
Leander, TX 78641-1806
Mailing address
409 South West Street
Leander, TX 78641-1806
Phone (512) 260-0201
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090824000261 | TX | Practitioner - Chiropractic | 1951455054 |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1978
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
409 S W Dr
Leander, TX 78641-1806
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2640 | TX | MD | Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Leander, TX
- NPI 1740477736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401235200000",
"number": "1912085531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 SOUTH WEST STREET",
"city": "LEANDER",
"state": "TX",
"postal_code": "786411806",
"telephone_number": "512-260-0201",
"fax_number": "512-260-0219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 SOUTH WEST STREET",
"city": "LEANDER",
"state": "TX",
"postal_code": "786411806",
"telephone_number": "512-694-6731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "JOSEPH",
"middle_name": "MIKE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2014-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "2640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leander, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.
- 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.