DAVID ANDREW VAUGHAN DDS
NPI 1033701172
Student in an Organized Health Care Education/Training Program in Inver Grove Heights, MN

Active since February 10, 2021PECOS Enrolled
6382 BALLANTINE AVE, INVER GROVE HEIGHTS, MN 55077(651) 398-3018 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Andrew Vaughan Dds NPPES

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

DAVID ANDREW VAUGHAN DDS (NPI 1033701172) is an individual student in an organized health care education/training program in Inver Grove Heights, Minnesota and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033701172
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDAVID ANDREW VAUGHANCredential: DDS
Location Address6382 BALLANTINE AVEInver Grove Heights, MN 55077-2137
Mailing Address6382 Ballantine AveInver Grove Heights, MN 55077-2137 · (651) 398-3018
Sole ProprietorNo
Enumeration DateFebruary 10, 2021
NPPES CertifiedFebruary 10, 2021
NPI 1033701172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6382 BALLANTINE AVE, Inver Grove Heights, MN 55077

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

David Andrew Vaughan 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.

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 David Vaughan's NPI number?

The NPI number for David Vaughan is 1033701172. It was assigned to this individual provider in the NPPES registry on February 10, 2021.

Where is David Vaughan located?

David Vaughan practices at 6382 Ballantine Ave, Inver Grove Heights, MN 55077. The listed phone number is (651) 398-3018.

What is David Vaughan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is David Vaughan enrolled in Medicare?

Yes. David Vaughan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Vaughan was last updated on February 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.