DR. VAUGHN DE GUZMAN D.M.D.
NPI 1104008515
Dentist - General Practice in Roscoe, IL

Q: What is Vaughn De Guzman's NPI number?

The NPI number for Vaughn De Guzman is 1104008515. It was assigned to this individual provider in the NPPES registry on November 28, 2007.

Q: What is Vaughn De Guzman'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 Vaughn De Guzman was last updated on November 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 November 28, 2007PECOS Enrolled

5640 CLAYTON CIR, ROSCOE, IL 61073(815) 623-7366(815) 623-7331 Get Directions Write a Review

NPPES record last updated: November 28, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Vaughn De Guzman D.m.d. NPPES

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

DR. VAUGHN DE GUZMAN D.M.D. (NPI 1104008515) is an individual general practice provider in Roscoe, Illinois, licensed in Illinois (019025867) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104008515

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. VAUGHN DE GUZMANCredential: D.M.D.

Location Address5640 CLAYTON CIRRoscoe, IL 61073-9503

Mailing Address5640 Clayton CirRoscoe, IL 61073-9503 · (815) 623-7366 · Fax (815) 623-7331

Phone(815) 623-7366

Fax(815) 623-7331

Sole ProprietorNo

Enumeration DateNovember 28, 2007

✔ NPI 1104008515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019025867

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.

5640 CLAYTON CIR, Roscoe, IL 61073

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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. Vaughn De Guzman D.m.d. 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 61073 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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 4

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

DR. ROBERT DALE SHULTZ D.D.S.

Dentist (General Practice)

5640 CLAYTON CIR
ROSCOE, IL 61073

Winnebago County (815) 623-7366

ROSCOE FAMILY DENTAL CENTER, P.C.

Dentist (General Practice)

5640 CLAYTON CIR
ROSCOE, IL 61073

Winnebago County (815) 623-7366

JACLYN KILBY DMD

Dentist (General Practice)

5640 CLAYTON CIR
ROSCOE, IL 61073

Winnebago County (815) 623-7366

DR. MATTHEW C DZIARSKI D.M.D

Dentist

5640 CLAYTON CIR
ROSCOE, IL 61073

Winnebago County (815) 623-7366

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 Vaughn De Guzman's NPI number?

The NPI number for Vaughn De Guzman is 1104008515. It was assigned to this individual provider in the NPPES registry on November 28, 2007.

Where is Vaughn De Guzman located?

Vaughn De Guzman practices at 5640 Clayton Cir, Roscoe, IL 61073. The listed phone number is (815) 623-7366.

What is Vaughn De Guzman's specialty?

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

Is Vaughn De Guzman enrolled in Medicare?

Yes. Vaughn De Guzman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vaughn De Guzman was last updated on November 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.