NPIMap

Organization Active NPI

Jason Champagne V, LLC

  • Pediatric Dentistry
  • Sparks, NV
National Provider Identifier
1215332374
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
4049 Issued in NV
Legal business name
JASON CHAMPAGNE V, LLC
Practice address
1125 Avenue of the Oaks Unit 161
Sparks, NV 89431-4913
Phone
(775) 335-3199
Fax
(775) 870-1632
NPI assigned
Oct 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Dr. Cariann Elaine Champagne, DDSNPI 1831266147
Title
Owner
Phone
(775) 359-3934

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 4049 NV Primary

Addresses

Primary practice location

1125 Avenue of the Oaks Unit 161
Sparks, NV 89431-4913

Mailing address

PO Box 2070
Sparks, NV 89432-2070
Phone (775) 359-3934

Other names 1

  • Champagne Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1125 Avenue of the Oaks
Unit 161
Sparks, NV 89431
Phone (775) 335-3199

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1215332374",
    "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",
            "telephone_number": "775-359-3934",
            "fax_number": "775-359-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 AVENUE OF THE OAKS UNIT 161",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894314913",
            "telephone_number": "775-335-3199",
            "fax_number": "775-870-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON CHAMPAGNE V, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "CHAMPAGNE",
        "authorized_official_first_name": "CARIANN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-359-3934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "4049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champagne Pediatric Dentistry",
            "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 Aug 9, 2024; 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.