Individual provider Active NPI

Vaughn Evan Kearbey, DDS

  • General Practice Dentistry
  • Oroville, CA
National Provider Identifier
1942360847
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40082 Issued in CA
Practice address
455 Oro Dam Blvd E
Ste, E
Oroville, CA 95965-5733
Phone
(530) 533-6252
Fax
(530) 533-6112
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 40082 CA Primary

Addresses

Primary practice location

455 Oro Dam Blvd E
Ste, E
Oroville, CA 95965-5733

Mailing address

455 Oro Dam Blvd E
Ste, E
Oroville, CA 95965-5733
Phone (530) 533-6252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40082CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942360847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 ORO DAM BLVD E",
            "address_2": "STE, E",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959655733",
            "telephone_number": "530-533-6252",
            "fax_number": "530-533-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 ORO DAM BLVD E",
            "address_2": "STE, E",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959655733",
            "telephone_number": "530-533-6252",
            "fax_number": "530-533-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARBEY",
        "first_name": "VAUGHN",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oroville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.