CPD South Meadows LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

CPD SOUTH MEADOWS LLC

Practice address

5435 Kietzke LN Ste 100
Reno, NV 89511-1088

Phone

(775) 237-2038

Fax

(775) 359-4034

NPI assigned

Mar 1, 2022

Organization subpart

No

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

Authorized official

Name

Jason Champagne, DDS

Title

Owner

Phone

(775) 636-9939

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Daniel Schlieder, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Reno, NV
  • NPI 1467725507

  Oral and Maxillofacial Surgery

  NPD
• Jillian Rozanski, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Sparks, NV
  • NPI 1356682124

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1891441762",
    "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",
            "fax_number": "775-737-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 KIETZKE LN STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111088",
            "telephone_number": "775-237-2038",
            "fax_number": "775-359-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPD SOUTH MEADOWS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "CHAMPAGNE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-636-9939",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briann Coy
• Hannalie Coy
• Heidi Anne Coyne, PA
• Caston Jase Ray Cozart, RBT
• Cherae Cozzi
• Erin Crabson
• Amanda May Crabtree
• Charissa Marie Crabtree
• Tammy Crabtree, RN
• Brianna Marie Cracco, RN,BSN

• Oral and Maxillofacial Surgery (Dentist) in Reno, NV
• Providers in Reno, NV by specialty
• Oral and Maxillofacial Surgery (Dentist) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.