Champion Dentistry, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHAMPION DENTISTRY, LLC

Practice address

322 N Maple St
Lebanon, TN 37087-2706

Phone

(615) 606-2544

Fax

(888) 752-1480

NPI assigned

Mar 5, 2020

Last updated

Mar 5, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Derrick Champion, DDSNPI 1336353283

Title

Owner

Phone

(615) 554-7401

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Derrick Ranier Champion, D.D.S.

  • Dentist
  • Dorado, PR
  • NPI 1336353283
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1053946525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 N MAPLE ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872706",
            "telephone_number": "615-606-2544",
            "fax_number": "888-752-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 N MAPLE ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872706",
            "telephone_number": "615-606-2544",
            "fax_number": "888-752-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "CHAMPION",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-554-7401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedar Recovery Center of Middle Tennessee, LLC
• Cedar Recovery of Middle Tennessee, LLC (CedarRx)
• Cedars Nursing Home Inc. (Quality Care Investors)
• Centerwell Senior Primary Care TN PC (CenterWell Senior Primary Care-Lebanon)
• Chad T Price MD PC
• Champion Healthcare LLC
• Darryl Deshawn Champion, MDX
• Charles a. Mitchell
• Ramiro Colten Chavez, RBT
• Amber Lynn Chessor

• Dental Clinic/Center in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.