Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619350006 Individual Practitioner Female Practitioner

Dr. Katherine Rose Vaughan , DDS

Dentist • Faribault, MN

Professional Overview & Biography Verified Profile Summary

Dr. Katherine Vaughan, DDS is a registered healthcare professional specializing in Dentist in Faribault, MN. Practice services are available at 400 4TH ST NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 4th St Nw

Faribault, MN 550215089

Telephone 5073846830
Fax 6514317757
Associated Practice Facility / Clinic
🏢 Southern Cities Clinic Facility NPI 1437218740

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Faribault, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
7 Specialists

Practicing in Faribault, MN (1863 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-16
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MN D13579

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MN D13579

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Erik Adolphson , LICSW

Social Worker - Clinical

NPI 1063760742

Licensed Independent Clinical Social Worker

Carol Peitzman , APRN, CNS

Clinical Nurse Specialist - Psychiatric/Mental Health, Adult

NPI 1225120991

Advanced Practice Registered Nurse, Clinical Nurse Specialist

Dr. Linda Maytan , DDS

Student in an Organized Health Care Education/Training Program

NPI 1295867562

Doctor of Dental Surgery

Thomas Mans , ADT

Advanced Practice Dental Therapist

NPI 1366950354
Dr. Kyleeann Stevens , MD

Psychiatry & Neurology - Forensic Psychiatry

NPI 1427234475

Doctor of Medicine (M.D.)

Krista Andros

Dental Hygienist

NPI 1447140827

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location December 16, 2025

Registered at 400 4TH ST NW, FARIBAULT, MN 550215089 (Tel: 5073846830)

📍
Updated Business Mailing Address December 16, 2025

Registered at 400 4TH ST NW, FARIBAULT, MN 550215089

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2025

Dentist (License #D13579 in MN)

📍
Updated Practice Location July 20, 2020

Registered at 5625 CENEX DR, INVER GROVE HEIGHTS, MN 550771724 (Tel: 5165521752)

📍
Updated Business Mailing Address July 20, 2020

Registered at 5625 CENEX DR, INVER GROVE HEIGHTS, MN 550771724 (Tel: 5165521752)

NPI Profile Active July 25, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 25, 2016

Registered at 1724 NEBRASKA AVE, USA DENTAL ACTIVITY, FORT LEONARD WOOD, MO 654738939 (Tel: 5735960388)

📍
Updated Business Mailing Address July 25, 2016

Registered at 1724 NEBRASKA AVE, USA DENTAL ACTIVITY, FORT LEONARD WOOD, MO 654738939 (Tel: 5735960388)

👤
Provider Name / Credentials Updated July 25, 2016

Recorded as KATHERINE VAUGHAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2016

Dentist (License #D13579 in MN)

🟢
Initial NPI Registration & Enumeration July 02, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619350006
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2015
Last Update: December 16, 2025
Sole Proprietor: Yes

Mailing Address

400 4th St Nw

Faribault, MN 550215089

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.