Champion Dental PC
NPI 1366809725ActiveOrganization· Dentist· Vega Alta, PR
Dentist in Vega Alta, Puerto Rico, registered in NPPES in January 2016. The authorized official on file is Derrick Champion, D.D.S., Dentist/Owner.
Overview
| NPI | 1366809725 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 15, 2016 |
| Last updated in NPPES | Jan 15, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 3179 | PR |
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 |
|---|
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