Andrew Ryan Champagne, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5538 Issued in NV

Practice address

735 Sparks Blvd
Sparks, NV 89434-7930

Phone

(775) 359-3934

Fax

(775) 359-4034

NPI assigned

Jul 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1235329780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 SPARKS BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894347930",
            "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": "735 SPARKS BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894347930",
            "telephone_number": "775-359-3934",
            "fax_number": "775-359-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPAGNE",
        "first_name": "ANDREW",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seung Yeon Cha
• Vanessa Chacon-Avila
• Jennifer Challacomb, PHARMD
• Alexander Chambers
• Champagne Family Dentistry, LLC
• Cariann Elaine Champagne, D.D.S.
• Jason Len Champagne, DDS
• Larry L Champagne, DMD
• Fanny W Chan, O.D.
• Joseph Yaomin Chan, D.D.S.

• General Practice Dentistry in Sparks, NV
• Providers in Sparks, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.