Champagne Family Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4050 Issued in NV

Legal business name

CHAMPAGNE FAMILY DENTISTRY, LLC

Practice address

735 Sparks Blvd
Sparks, NV 89434-7930

Phone

(775) 359-3934

Fax

(775) 359-4034

NPI assigned

Oct 30, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jason Len Champagne, DDSNPI 1801979984

Title

Owner

Phone

(775) 359-3934

Specialties & licenses 1

Addresses

Locations

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": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1952706012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 SPARKS BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894347930",
            "telephone_number": "775-359-3934",
            "fax_number": "775-359-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 SPARKS BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894347930",
            "telephone_number": "775-359-3934",
            "fax_number": "775-359-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPAGNE FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "CHAMPAGNE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "LEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-359-3934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcos Ivan Cervantes
• Seung Yeon Cha
• Vanessa Chacon-Avila
• Jennifer Challacomb, PHARMD
• Alexander Chambers
• Andrew Ryan Champagne, DMD
• Cariann Elaine Champagne, D.D.S.
• Jason Len Champagne, DDS
• Larry L Champagne, DMD
• Fanny W Chan, O.D.

• General Practice Dentistry in Sparks, NV
• Providers in Sparks, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.