Jason Champagne IX PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JASON CHAMPAGNE IX PLLC

Practice address

3645 Warren Way
Reno, NV 89509-5241

Phone

(775) 462-3111

NPI assigned

Aug 9, 2024

Organization subpart

No

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

Authorized official

Name

Jason ChampagneNPI 1801979984

Title

Owner

Phone

(775) 462-3111

Specialties & licenses 1

Addresses

Other names 1

• Childrens Dentistry Of Reno Doing business as

Practitioners 1

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

• Jason Len Champagne, DDS

  • General Practice Dentistry
  • Sparks, NV
  • NPI 1801979984
  NPD Authorized official

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1841021045",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 WARREN WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095241",
            "telephone_number": "775-462-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON CHAMPAGNE IX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "CHAMPAGNE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-462-3111"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Dentistry Of Reno",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Childrens Dentistry Of Reno",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Courtlandt Jarzembowski
• Linda Jarzynka, RPH
• Jason Bolenbaker, O.D., PC
• Jason Champagne II PLLC
• Jason Champagne III PLLC
• Jason Champagne VIII PLLC
• Jordan Elizabeth Jasper
• Ieva Jastromskaite
• Barbara Hernandez Hernandez Jaudalso
• Rebecca S. Javaherian

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.