Individual provider Active NPI

Gregory Vaughn, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Seattle, WA
National Provider Identifier
1952501769
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE00009047 Issued in WA
Practice address
215 1St Ave W
100
Seattle, WA 98119-4253
Phone
(206) 285-5000
Fax
(206) 285-5040
NPI assigned
Jul 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DE00009047 WA Primary

Addresses

Primary practice location

215 1St Ave W
100
Seattle, WA 98119-4253

Mailing address

215 1St Ave W
100
Seattle, WA 98119-4253
Phone (206) 285-5000

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
DE00009047WAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Leone & Vaughn, PS Orthodontics and Dentofacial Orthopedics CurrentSince Mar 24, 2025 Accepting new patients
Leone Vaughn Orthodontics Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Locations

945 Elliott Ave W
Ste 100
Seattle, WA 98119
Phone (206) 285-5000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1952501769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 1ST AVE W",
            "address_2": "100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981194253",
            "telephone_number": "206-285-5000",
            "fax_number": "206-285-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 1ST AVE W",
            "address_2": "100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981194253",
            "telephone_number": "206-285-5000",
            "fax_number": "206-285-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "GREGORY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00009047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.