Alexander Thomas Vaughan, D.D.S.

Primary specialty

Orofacial Pain DentistryTaxonomy code 1223X2210X

License

0401415744 Issued in VA

Practice address

10120 W Broad St Ste I
Glen Allen, VA 23060-6709

Phone

(804) 625-4064

Fax

(804) 625-4066

NPI assigned

Jul 24, 2013

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orofacial Pain

Education

Herman Ostrow School of Dentistry of Usc, 2013

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Virginia Total Sleep PLLCGroup PAC ID 9638410186, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: virginiatotalsleeppllc.alexandervaughan@141802.advancedmd-direct.com

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.

• Virginia Total Sleep PLLC

  • Dentist
  • Glen Allen, VA
  • NPI 1235695743
  Medicare reassignment Care Compare group NPD Authorized official
• Virginia Total Sleep PLLC

  • Dentist
  • Midlothian, VA
  • NPI 1497459564
  NPD Authorized official

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1992147599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 W BROAD ST STE I",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606709",
            "telephone_number": "804-625-4064",
            "fax_number": "804-625-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 W BROAD ST STE I",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606709",
            "telephone_number": "804-625-4064",
            "fax_number": "804-625-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "ALEXANDER",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-24",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "VA",
            "license": "0401415744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanwagner Inc
• Vanwagner Inc
• Scott A Vanwagner, DC
• Varamp, LLC
• Taylor Nadine Vashro, RD
• Alexandra Nicole Vaughan
• Carl Sherwood Vaughan, MED.
• Ajla Pasic Vehab, PHARMD
• Charlotte Anne Vellenoweth, M.D.
• Mary Venable, P.T.

• Orofacial Pain Dentistry in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Orofacial Pain Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.

Verify at the official NPI Registry.