Ryan Matthew Vaughn, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1858148 Issued in MA

Practice address

101 Pleasant St Ste 2010
Worcester, MA 01609-3213

Phone

(774) 420-2600

NPI assigned

Aug 30, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Quinsigamond Dental

  • General Practice Dentistry
  • Shrewsbury, MA
  • NPI 1043641384
  NPD (past)

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1922580505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PLEASANT ST STE 2010",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016093213",
            "telephone_number": "617-460-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PLEASANT ST STE 2010",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016093213",
            "telephone_number": "774-420-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "RYAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-30",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1858148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoebe Vassiliou
• Trevor Ryan Vatalaro
• Anil Varma Venkata Vatsavayi, MD
• Lauren Elizabeth Vaudreuil
• Lindsey A Vaughan, B.S.
• Sivan Vaughn
• Lina C. Vawter, M.D.
• Erica Vayo
• Efrain Vazquez
• Idelisa Vazquez

• General Practice Dentistry in Worcester, MA
• Providers in Worcester, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.