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KENDRA DAWN VAUGHN DMD
NPI 1790607059
Dentist - General Practice in Great Falls, MT

Active since July 28, 2026PECOS Enrolled
202 2ND AVE S STE 203, GREAT FALLS, MT 59405(406) 791-9267(406) 791-9277 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kendra Dawn Vaughn Dmd NPPES

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

KENDRA DAWN VAUGHN DMD (NPI 1790607059) is an individual general practice provider in Great Falls, Montana, licensed in Montana (DEN-DEN-LIC-33497) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1790607059
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKENDRA DAWN VAUGHNCredential: DMD
Location Address202 2ND AVE S STE 203Great Falls, MT 59405-1831
Mailing Address902 Valley DrGlasgow, MT 59230-8405
Phone(406) 791-9267
Fax(406) 791-9277
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
✔ NPI 1790607059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MT · DEN-DEN-LIC-33497
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.
202 2ND AVE S STE 203, Great Falls, MT 59405
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendra Dawn Vaughn Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153881677
PECOS Enrollment IDI20260903003728
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.

Medicare Billing Reassignment

Medicare enrollment records show Kendra Vaughn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Care Center Incorporated
0.3 mi
Federally Qualified Health Center (FQHC)
601 1ST AVE N
Great Falls, MT 59401
  • Reassigned Medicare billing, Montana enrollment
  • 18 clinicians in this Medicare group
NPI 1902948946 (406) 791-7903

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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 7

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

DR. CHRIS ALLAN BLIXRUD DDS
Dentist
202 2ND AVE S STE 203
GREAT FALLS, MT 59405
Cascade County (406) 791-9267
TESSA SIMPSON RDH
Dental Hygienist
202 2ND AVE S STE 203
GREAT FALLS, MT 59405
Cascade County (406) 791-9267
DEANNA MARIE GOSS RDH LAP
Dental Hygienist
202 2ND AVE S STE 203
GREAT FALLS, MT 59405
Cascade County (406) 791-9267
SARAPOORNIMA SENDHUR DMD
Dentist (General Practice)
202 2ND AVE S STE 203
GREAT FALLS, MT 59405
Cascade County (406) 791-9267
HEATHER SIENKOWSKI RDH
Dental Hygienist
202 2ND AVE S STE 203
GREAT FALLS, MT 59405
Cascade County (406) 791-9267
REEGAN MARIE DEBRUYCKER DDS
Dentist (General Practice)
202 2ND AVE S STE 203
GREAT FALLS, MT 59405
Cascade County (406) 791-9267
DR. KENNETH MICHAEL GREBLIUNAS D.D.S.
Dentist (General Practice)
202 2ND AVE S STE 203
GREAT FALLS, MT 59405
Cascade County (406) 791-9267

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 Kendra Vaughn's NPI number?

The NPI number for Kendra Vaughn is 1790607059. It was assigned to this individual provider in the NPPES registry on July 28, 2026.

Where is Kendra Vaughn located?

Kendra Vaughn practices at 202 2nd Ave S Ste 203, Great Falls, MT 59405. The listed phone number is (406) 791-9267.

What is Kendra Vaughn's specialty?

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

Is Kendra Vaughn enrolled in Medicare?

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

Which organization bills Medicare for Kendra Vaughn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Vaughn reassigns Medicare benefits to Community Health Care Center Incorporated (Great Falls, MT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kendra Vaughn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kendra Vaughn accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental and Florida Combined Life and 1 other insurer list Kendra 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 Kendra Vaughn was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.