Active NPI
Champion Wound Solutions PLLC
- Family Medicine Physician
- Dayton, TX
National Provider Identifier
1952199549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CHAMPION WOUND SOLUTIONS PLLC
- Practice address
- 201 W Kay St
Dayton, TX 77535-2256 - Phone
- (877) 258-6331
- Fax
- (718) 362-1651
- NPI assigned
- Apr 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charlotte Rena Tenney, NP
- Title
- Owner
- Phone
- (877) 258-6331
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
201 W Kay St
Dayton, TX 77535-2256
Mailing address
612 Corporate Way Ste 2M
Valley Cottage, NY 10989-2027
Phone (718) 362-1411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250515002601 | TX | Part B Supplier - Clinic/Group Practice | 7517485352 |
Receives reassigned benefits from 1 practitioner Practice locations: Dayton, TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745539200000",
"number": "1952199549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 CORPORATE WAY STE 2M",
"city": "VALLEY COTTAGE",
"state": "NY",
"postal_code": "109892027",
"telephone_number": "718-362-1411",
"fax_number": "718-362-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W KAY ST",
"city": "DAYTON",
"state": "TX",
"postal_code": "775352256",
"telephone_number": "877-258-6331",
"fax_number": "718-362-1651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHAMPION WOUND SOLUTIONS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-25",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A",
"authorized_official_last_name": "TENNEY",
"authorized_official_first_name": "CHARLOTTE",
"authorized_official_middle_name": "RENA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "877-258-6331",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.