Clifford Clyde Compton III, DDSPA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3777 Issued in NC

Practice address

913 Union St S
Concord, NC 28025-5732

Phone

(704) 786-8825

Fax

(704) 786-8823

NPI assigned

Nov 16, 2009

Last updated

Nov 16, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

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.

• Clifford C Compton III DDS PA

  • Dentist
  • Concord, NC
  • NPI 1114142783
  NPD (past) Authorized official

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1255668075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 UNION ST S",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255732",
            "telephone_number": "704-786-8825",
            "fax_number": "704-786-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 UNION ST S",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255732",
            "telephone_number": "704-786-8825",
            "fax_number": "704-786-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPTON",
        "first_name": "CLIFFORD",
        "middle_name": "CLYDE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDSPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Comiskey, DDS
• Sara Jane Commander, PA
• Jack Harrington Commeville
• Community Partners Homecare LLC
• Community Specialized Services, Inc.
• Conceptions Counseling
• Concord Children's Clinic
• Concord Christian Center
• Concord Eye Care Center, O.D., P.a.
• Concord Family Chiropractic

• General Practice Dentistry in Concord, NC
• Providers in Concord, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.

Verify at the official NPI Registry.