Eric A Compton, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12008778 Issued in IN

Practice address

901 Fran Lin Pkwy
Munster, IN 46321-3540

Phone

(219) 836-0460

Fax

(219) 836-1174

NPI assigned

Feb 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Munster Medical Research Foundation Inc

  dba Community Hospital

  • General Acute Care Hospital
  • Munster, IN
  • NPI 1003918210

  Corporate Director

  CMS ownership
• Munster Medical Research Foundation, Inc.

  dba Community Home Health Services

  • Home Health Agency
  • Munster, IN
  • NPI 1679671697

  Corporate Director, Corporate Officer

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Compton and Broomhead Dental Center, LLC

  • Dental Clinic/Center
  • Munster, IN
  • NPI 1780041731
  Authorized official Same address or phone
• Compton Dental Center

  • Dental Clinic/Center
  • Munster, IN
  • NPI 1508993049
  Authorized official Same address or phone
• Munster Medical Research Foundation, Inc.

  dba Community Surgery Center Pharmacy

  • Community/Retail Pharmacy
  • Munster, IN
  • NPI 1235209826
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063549699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 FRAN LIN PKWY",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213540",
            "telephone_number": "219-836-0460",
            "fax_number": "219-836-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 FRAN LIN PKWY",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213540",
            "telephone_number": "219-836-0460",
            "fax_number": "219-836-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPTON",
        "first_name": "ERIC",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL ANESTHESIA PERMIT",
            "identifier": "43000134A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTOLLED SUBSTANCE REGIS",
            "identifier": "13008778B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED CONTROLLED SUBSTANCE",
            "identifier": "BC0496972",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE",
            "identifier": "12008778",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Comfort Healthcare Corp
• Community Chiropractic Clinic, PC
• Community Village, Inc
• Compton and Broomhead Dental Center, LLC
• Compton Dental Center
• Confidential Care, LTD.
• Kristina Lenore Conley Smith, OT/R
• Consciously Overcoming Powerful Emotions LLC (Cope)
• Consolidated Anesthesia PC
• Consultants in Gastroenterology, SC

• General Practice Dentistry in Munster, IN
• Providers in Munster, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.