Active NPIIndividual providerSole proprietor

Dr. Derrick R Champion, DDS

Dentist in Dorado, Puerto Rico

NPI Number1336353283
Practice location
207 Calle Metis, Dorado, PR 00646-4618
Fax
787-369-7601
Last updated
November 23, 2015

Derrick Ranier Champion is a Dentist based in Dorado, PR. Derrick Ranier Champion practices in Dorado, PR and has the professional credentials of DDS. The NPI Number for Derrick Ranier Champion is 1336353283 and holds a License No. 053036 (NY). The current practice location address for Derrick Ranier Champion is 207 Calle Metis, Dorado, PR 00646-4618 and can be reached out via phone at 787-369-7600 and via fax at 787-369-7601.

Provider Profile Details

NPI Number
1336353283
Provider Name
Derrick Ranier Champion
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
207 Calle Metis, Dorado, PR 00646-4618
Phone Number
787-369-7600
Fax Number
787-369-7601
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
May 10, 2007
Last Update Date
November 23, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
207 Calle Metis
Dorado, PR 00646-4618
City
Dorado
Zip
00646-4618
Phone Number
787-369-7600
Fax Number
787-369-7601
Dorado, PR 00646Get directions →

Provider Business Mailing Address Details

Address
Carretera 693 Km 13.7 Suite 201B
Plaza Del Mar Shopping Center
Vega Alta, PR 00692
City
Vega Alta
State
PR
Zip
00692
Phone Number
787-369-7600
Fax Number
787-369-7601

License Information

License Number
053036
License State
NY
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Derrick R Champion, DDS?

The NPI number of Dr. Derrick R Champion, DDS is 1336353283. It was assigned on May 10, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Derrick R Champion, DDS?

Dr. Derrick R Champion, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NY under license number 053036.

Where does Dr. Derrick R Champion, DDS practice?

The practice location is 207 Calle Metis, Dorado, PR 00646-4618. The office can be reached at 787-369-7600 (phone) or 787-369-7601 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336353283 directly on the NPPES registry website.

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