Derrick Ranier Champion, D.D.S.
NPI 1336353283ActiveIndividual· Dentist· Dorado, PR
Dentist (D.D.S.) in Dorado, Puerto Rico, licensed in NY, with an NPI issued in May 2007. Part D covered 45 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1336353283 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | Yes |
| NPI issued | May 10, 2007 |
| Last updated in NPPES | Nov 23, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 053036 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 45 · 45 30-day fills |
|---|---|
| Patients | 18 |
| Total drug cost | $555.16 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist providers in Dorado
- 1104492594
- 1609978832
- 1912090705
- 1528387453
- 1336435908
- 1790749489