DR. KENNETH D. VAUGHN DDS
NPI 1023119567
Dentist - General Practice in Sparks, NV

Q: What is Kenneth Vaughn's NPI number?

The NPI number for Kenneth Vaughn is 1023119567. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Q: What is Kenneth Vaughn's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Vaughn was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 26, 2006PECOS Enrolled

5901 LOS ALTOS PKWY, SUITE 100, SPARKS, NV 89436(775) 626-7772(775) 626-7811 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Kenneth D. Vaughn Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH D. VAUGHN DDS (NPI 1023119567) is an individual general practice provider in Sparks, Nevada, licensed in Nevada (2537) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023119567

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KENNETH D. VAUGHNCredential: DDS

Location Address5901 LOS ALTOS PKWY, SUITE 100Sparks, NV 89436-7666

Mailing Address5901 Los Altos Pkwy, Suite 100Sparks, NV 89436-7666 · (775) 626-7772 · Fax (775) 626-7811

Phone(775) 626-7772

Fax(775) 626-7811

Sole ProprietorYes

Enumeration DateSeptember 26, 2006

Last NPPES UpdateJuly 21, 2022

✔ NPI 1023119567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NV · 2537

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5901 LOS ALTOS PKWY, Sparks, NV 89436

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth D. Vaughn Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89436 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ORTHOMED PHYSICAL THERAPY ASSOCIATES LLC

Clinic/Center (Physical Therapy)

5901 LOS ALTOS PKWY, SUITE 103
SPARKS, NV 89436

Washoe County (775) 354-1188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Vaughn's NPI number?

The NPI number for Kenneth Vaughn is 1023119567. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Kenneth Vaughn located?

Kenneth Vaughn practices at 5901 Los Altos Pkwy Suite 100, Sparks, NV 89436. The listed phone number is (775) 626-7772.

What is Kenneth Vaughn's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kenneth Vaughn enrolled in Medicare?

Yes. Kenneth Vaughn is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Vaughn accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 8 other insurers list Kenneth Vaughn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Vaughn was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.