Jason Champagne III PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JASON CHAMPAGNE III PLLC

Practice address

175 Brinkby Ave
Reno, NV 89509-4327

Phone

(775) 636-9939

NPI assigned

Nov 2, 2021

Organization subpart

No

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

Authorized official

Name

Jason L Champagne, DDS

Title

Member

Phone

(775) 636-9939

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1821753047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 GLENDALE AVE STE 3",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894315777",
            "telephone_number": "775-636-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 BRINKBY AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094327",
            "telephone_number": "775-636-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON CHAMPAGNE III PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "CHAMPAGNE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "775-636-9939",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrin E Jarvis, PA-C
• Steven Courtlandt Jarzembowski
• Linda Jarzynka, RPH
• Jason Bolenbaker, O.D., PC
• Jason Champagne II PLLC
• Jason Champagne IX PLLC
• Jason Champagne VIII PLLC
• Jordan Elizabeth Jasper
• Ieva Jastromskaite
• Barbara Hernandez Hernandez Jaudalso

• Dental Clinic/Center in Reno, NV
• Providers in Reno, NV by specialty
• Dental Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.