OrganizationActive
Jason Champagne Idaho 4, PLLC
NPI 1508614033 · General Practice Dentistry · Boise, ID
Jason Champagne Idaho 4, PLLC is a General Practice Dentistry organization in Boise, ID (NPI 1508614033).
Provider details
- NPI number
- 1508614033
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jason Champagne, Owner(775) 359-3934
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
345 W Bobwhite Ct
Boise, ID 83706-3982
Phone: (208) 345-1383
Street-level locationGet directions
Mailing address
Po Box 2070
Sparks, NV 89432-2070
Other names (DBA / former)
- Doing business as
- Blue Heron Dental
Registry dates
- Enumerated
- 2024-05-09
- Last updated
- 2024-05-09
- Certified
- 2024-05-09
Frequently asked questions
- What is Jason Champagne Idaho 4, PLLC's NPI number?
- Jason Champagne Idaho 4, PLLC's National Provider Identifier (NPI) is 1508614033, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jason Champagne Idaho 4, PLLC?
- Jason Champagne Idaho 4, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Jason Champagne Idaho 4, PLLC located?
- Jason Champagne Idaho 4, PLLC's practice location on file with NPPES is 345 W Bobwhite Ct, Boise, ID 83706-3982.
- What is Jason Champagne Idaho 4, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Jason Champagne Idaho 4, PLLC is (208) 345-1383.
- Who is the authorized official for Jason Champagne Idaho 4, PLLC?
- The authorized official listed on Jason Champagne Idaho 4, PLLC's NPPES record is Jason Champagne, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jason Champagne Idaho 4, PLLC's NPI active?
- Yes — Jason Champagne Idaho 4, PLLC's NPI (1508614033) is active in the NPPES registry as of the last update on 2024-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.