Active NPI
Jason Champagne VI,PC
- General Practice Dentistry
- Sparks, NV
National Provider Identifier
1053117473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- JASON CHAMPAGNE VI,PC
- Doing business as
- Spanish Springs Family Dental
- Practice address
- 5050 Vista Blvd Unit 107
Sparks, NV 89436-2845 - Phone
- (775) 626-6556
- NPI assigned
- Feb 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Champagne
- Title
- Owner
- Phone
- (775) 626-6556
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
5050 Vista Blvd Unit 107
Sparks, NV 89436-2845
Mailing address
PO Box 2070
Sparks, NV 89432-2070
Other names 1
- Spanish Springs Family Dental
National Provider Directory
National Provider DirectoryLocations
5050 Vista Blvd
Unit 107
Sparks, NV 89436
Phone (775) 626-6556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740441600000",
"number": "1053117473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2070",
"city": "SPARKS",
"state": "NV",
"postal_code": "894322070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 VISTA BLVD UNIT 107",
"city": "SPARKS",
"state": "NV",
"postal_code": "894362845",
"telephone_number": "775-626-6556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JASON CHAMPAGNE VI,PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-25",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A",
"authorized_official_last_name": "CHAMPAGNE",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "775-626-6556"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Spanish Springs Family Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.