Organization Active NPI

Michael R Compton D.C.,P.C.

  • Chiropractor
  • Fayetteville, TN
National Provider Identifier
1104012095
Registry record updated Mar 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2187 Issued in TN
Legal business name
MICHAEL R COMPTON D.C.,P.C.
Practice address
2686 Huntsville Hwy
Suite C
Fayetteville, TN 37334-7647
Phone
(931) 433-0067
Fax
(931) 433-9005
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2008

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

Authorized official

Name
Dr. Michael Ray Compton, D.C.
Title
Owner
Phone
(931) 433-0067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2187 TN Primary

Addresses

Primary practice location

2686 Huntsville Hwy
Suite C
Fayetteville, TN 37334-7647

Mailing address

2686 Huntsville Hwy
Suite C
Fayetteville, TN 37334-7647
Phone (931) 433-0067

Other identifiers 1

IdentifierTypeStateIssuer
4169119OtherTNBC/BS

Other names 1

  • Lincoln County Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

2686 Huntsville Hwy
Fayetteville, TN 37334
Phone (931) 227-4637

2686 Huntsville Hwy
Ste C
Fayetteville, TN 37334
Phone (931) 433-0067

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204329600000",
    "number": "1104012095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2686 HUNTSVILLE HWY",
            "address_2": "SUITE C",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373347647",
            "telephone_number": "931-433-0067",
            "fax_number": "931-433-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2686 HUNTSVILLE HWY",
            "address_2": "SUITE C",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373347647",
            "telephone_number": "931-433-0067",
            "fax_number": "931-433-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R COMPTON D.C.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2008-03-01",
        "status": "A",
        "authorized_official_last_name": "COMPTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-433-0067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "4169119",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln County Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.