Physician Assistant
DOMINIQUE CHAMPION PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1699282020 · enumerated 2018-01-08 · record updated 2026-05-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: DOMINIQUE CARLOS
Addresses and phones
- Practice location 3150 N TENAYA WAY STE 260, LAS VEGAS, NV, 89128-0459 (702) 962-5920 Fax (702) 240-9984 Google Maps Apple Maps OpenStreetMap
- Mailing address 4000 WELLNESS DR, MIDLAND, MI, 48670-1000 (844) 832-1956 Fax (989) 633-5241 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X · License PA-1334 AR
- Physician Assistant 363A00000X · License 5601013904 MI
- Physician Assistant 363A00000X · Primary · License PA1929 NV
- Physician Assistant, Surgical 363AS0400X · License 10004488A IN
In this directory
Locations and evidence
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Practice location
LAS VEGAS, NV, 891280459
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.