PARIS D VAUGHN DDS PC (NPI# 1669895868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669895868 |
| Entity Type | Organization |
| Organization Name | PARIS D VAUGHN DDS PC |
| Other Organization Name | PURE DENTAL |
| Practice Address |
12581 Milstead Way Suite 204 Woodbridge VA 22192-5445 |
| Practice Telephone | 5712852577 |
| Mailing Telephone | 5712852577 |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |
| Authorized Official Name | DR. PARIS DEVON VAUGHN (DENTIST/OWNER) |
| Authorized Official Telephone | 5712852577 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | 0401411660 | VA | Hospitals |
| Other Name | Type Code |
|---|---|
| Pure Dental | Doing Business As Name - Organization |
| Street Address |
12581 MILSTEAD WAY SUITE 204 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-5445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831278456 | Charles S Mills IIi | Physical Therapist | 12581 Milstead Way, Suite 201, Woodbridge, VA 22192 | 2006-11-03 |
| 1013304401 | Britto Orthodontics | Dentist | 12581 Milstead Way, Suite 304, Woodbridge, VA 22192-5445 | 2015-04-23 |
| 1982035523 | Krista M Scofield | Physical Therapist | 12581 Milstead Way, Woodbridge, VA 22192-5445 | 2013-12-09 |
| 1245531805 | Dr. Mala Britto's Children's Dentistry | Dentist | 12581 Milstead Way, Suite 305, Woodbridge, VA 22192-5445 | 2010-11-12 |
| 1659505196 | Paris Devon Vaughn | Dentist | 12581 Milstead Way, Suite 204, Woodbridge, VA 22192-5445 | 2009-05-13 |
| 1306070164 | Mid-county Physical Therapy LLC | Clinic/Center | 12581 Milstead Way, Suite 201, Woodbridge, VA 22192 | 2009-05-08 |
| 1477710861 | Sandra Goe | Physical Therapist | 12581 Milstead Way, Ste 201, Woodbridge, VA 22192-5446 | 2008-05-22 |
| 1184891665 | Dan B Bishwakarma | Family Medicine | 12581 Milstead Way, Suite 103, Woodbridge, VA 22192 | 2008-05-13 |
| 1437287695 | Holly Arvidson | Physical Therapist | 12581 Milstead Way, Ste 201, Woodbridge, VA 22192 | 2007-03-01 |
| 1184787871 | Donald M Bradshaw | Family Medicine | 12581 Milstead Way, Nextcare Urgent Care Suite 103, Woodbridge, VA 22192-5445 | 2006-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619141926 | Bruce I Longman Dds, LLC | Special Hospital | 5220 Rolleston Dr, Virginia Beach, VA 23464-2541 | 2008-04-17 |
| 1043329758 | Health Care Reformer, Inc. | Special Hospital | 8809 Blue Royale Ln, Fairfax, VA 22031-2150 | 2006-08-29 |
| 1003356593 | Virginia University of Oriental Medicine | Special Hospital | 9401 Mathy Dr, Fairfax, VA 22031-5310 | 2017-03-02 |
| 1285040360 | University of Virginia Medical Center | Special Hospital | 1215 Lee Street, Charlottesville, VA 22903 | 2014-07-09 |
| 1063845816 | Eastern Virginia Eye Institute | Special Hospital | 2147 Old Greenbrier Rd, Chesapeake, VA 23320-2635 | 2013-08-15 |
| 1043650815 | Department of Veteran's Affairs | Special Hospital | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2013-06-26 |
| 1194063321 | Susan J Keen | Special Hospital | 1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2013-01-23 |
| 1952649360 | Thomas Johns Cancer Hospital At Johnston Willis Hospital | Special Hospital | 1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2013-01-18 |
| 1184998536 | Fort Belvoir Community Hospital | Special Hospital | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-03-02 |
| 1346428380 | Central Virginia Hospital for Restorative and Rehabilitative Care, LLC | Special Hospital | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2008-02-01 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
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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.