Cariann Elaine Champagne, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

4049 Issued in NV

Practice address

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

Phone

(775) 335-3199

Fax

(775) 870-1632

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 31, 2017 through May 31, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jason Champagne V, LLC

  • Pediatric Dentistry
  • Sparks, NV
  • NPI 1215332374
  NPD Authorized official
• Eric C Dean DDS LTD

  • Dentist
  • Sparks, NV
  • NPI 1881863116
  NPD (past)
• Heinen Family Dentistry

  • Dentist
  • Sparks, NV
  • NPI 1780065219
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1831266147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "last_name": "CHAMPAGNE",
        "first_name": "CARIANN",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "4049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Chacon-Avila
• Jennifer Challacomb, PHARMD
• Alexander Chambers
• Champagne Family Dentistry, LLC
• Andrew Ryan Champagne, DMD
• Jason Len Champagne, DDS
• Larry L Champagne, DMD
• Fanny W Chan, O.D.
• Joseph Yaomin Chan, D.D.S.
• Zoey Chandler

• Pediatric Dentistry in Sparks, NV
• Providers in Sparks, NV by specialty
• Pediatric Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.