Active NPI
Anna Claire Compton, DDS, MDS
- Periodontics
- Memphis, TN
National Provider Identifier
1124680632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 11093
- Practice address
- 5348 Estate Office Dr
Memphis, TN 38119-3635 - Phone
- (901) 763-4700
- NPI assigned
- Jul 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 11093 | TN | Primary |
Addresses
Primary practice location
5348 Estate Office Dr
Memphis, TN 38119-3635
Mailing address
2129 Woodside Dr
Germantown, TN 38138-4025
Phone (870) 275-0901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220623000439 | TN | Order and Referring Only - Dentist | 6103205059 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11093 | TN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anna Claire Compton, D.D.S., L.L.C | Periodontics | Current | Accepting new patients |
Locations
5348 Estate Office Dr
Memphis, TN 38119
Phone (901) 763-4700
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Periodontics
- Memphis, TN
- NPI 1952511578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1124680632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2129 WOODSIDE DR",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381384025",
"telephone_number": "870-275-0901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5348 ESTATE OFFICE DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381193635",
"telephone_number": "901-763-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMPTON",
"first_name": "ANNA",
"middle_name": "CLAIRE",
"name_prefix": "Dr.",
"credential": "DDS, MDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-03",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TN",
"license": "11093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.