DR. WILLIAM SHANE VAUGHN (NPI# 1467835074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467835074 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM SHANE VAUGHN |
| Credential | D.M.D. |
| Practice Address |
2113 Sarno Rd Melbourne FL 32935 |
| Practice Telephone | 3212599429 |
| Mailing Telephone | 3212599429 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2016-09-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 22193 | FL | Dental Providers |
| N | 122300000X | Dentist | 9626 | KY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447411939 | William E Vaughn | Community Based Residential Treatment Facility, Mental Illness | 900 E Elm St, Goldsboro, NC 27530-5914 | 2008-06-18 |
| 1699761957 | William R Vaughn | Urology | 200 S 6th St, Vincennes, IN 47591-1122 | 2005-09-22 |
| 1790347946 | William Patrick Flood Vaughn | Family Medicine | 1 Clara Barton Dr, Albany, NY 12208-3401 | 2019-07-08 |
| 1124589981 | William J Vaughn | Occupational Therapy Assistant | 1313 Pratt St, Barry, IL 62312-1365 | 2019-03-26 |
| 1558809434 | William Vaughn | Nurse Practitioner | 6475 S Yale Ave Ste 301, Tulsa, OK 74136 | 2017-02-10 |
| 1962865154 | William Vaughn | Social Worker | 2012 E 13th St, Ames, IA 50010-5601 | 2016-04-04 |
| 1154553865 | William E. Vaughn | Chiropractor | 1010 N Bird St, Sun Prairie, WI 53590-1174 | 2009-08-13 |
| 1124211685 | William Paul Vaughn | Occupational Therapy Assistant | 3470 Olney Laytonsville Rd, #123, Olney, MD 20832-1734 | 2007-08-19 |
| 1124242219 | William M Vaughn | Physician Assistant | 1000 Hawthorne Ave, Suite O, Athens, GA 30606-2168 | 2007-04-12 |
| 1770607079 | William Thomas Vaughn | Chiropractor | 1424 N Perry Hwy, Mercer, PA 16137-4324 | 2007-03-19 |
| Street Address |
2113 SARNO RD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003839325 | Clark F. Brown, Jr. Dds, Pa | Clinic/Center | 2113 Sarno Rd, Melbourne, FL 32935-3001 | 2006-07-26 |
| 1457823080 | Medfast Urgent Care Center, LLC | Clinic/Center | 2113 Sarno Rd, Melbourne, FL 32935-3001 | 2018-12-20 |
| 1922334705 | Sarno Imaging Center | Clinic/Center | 2113 Sarno Rd, Melbourne, FL 32935-3001 | 2009-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699334599 | Thomas Tolles | Dentist | 6340 N Wickham Rd Unit 101, Melbourne, FL 32940-2045 | 2019-06-13 |
| 1891281697 | Alisa Morgan Kleiman | Dentist | 6455 N Wickham Rd Unit 103, Melbourne, FL 32940-2020 | 2018-07-03 |
| 1285122044 | Kenneth A Mogell Dmd Pa | Dentist | 1400 Pine St Ste A, Melbourne, FL 32901-3170 | 2018-04-27 |
| 1871006742 | Dentists of Melbourne, Pa | Dentist | 6455 N Wickham Rd Ste 103, Melbourne, FL 32940-2020 | 2017-11-14 |
| 1144746116 | Viera Modern Dentistry, Pa | Dentist | 2328 Citadel Way, Suite 101, Melbourne, FL 32940 | 2017-08-21 |
| 1104209782 | New Image Dentistry | Dentist | 7827 N Wickham Rd, Suite A, Melbourne, FL 32940-8289 | 2015-07-01 |
| 1538549001 | Song Mao | Dentist | 1390 S Babcock St, Melbourne, FL 32901-3009 | 2015-05-31 |
| 1659769891 | Champaka Nagaraju | Dentist | 7777 N Wickham Rd Ste 4, Melbourne, FL 32940-7978 | 2014-12-22 |
| 1477960375 | Alexandros Tapper | Dentist | 3150 N Wickham Rd Ste 7, Melbourne, FL 32935-2322 | 2014-07-13 |
| 1700227923 | Dhiren Agrawal | Dentist | 249 Palm Bay Rd Ne, Melbourne, FL 32904-8602 | 2013-07-16 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.