Individual provider Active NPI

David C Compton, D.D.S.

  • General Practice Dentistry
  • Ellettsville, IN
National Provider Identifier
1508968728
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009555 Issued in IN
Practice address
5915 West Highway 46
Ellettsville, IN 47429-0518
Phone
(812) 876-7330
Fax
(812) 876-7325
NPI assigned
Sep 1, 2006
Last updated
Dec 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12009555 IN Primary

Addresses

Primary practice location

5915 West Highway 46
Ellettsville, IN 47429-0518

Mailing address

PO Box 314
Ellettsville, IN 47429-0314
Phone (812) 876-3343

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140820000492 IN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7719105535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12009555INMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ellettsville Dental Center, Inc. General Practice Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1508968728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 314",
            "city": "ELLETTSVILLE",
            "state": "IN",
            "postal_code": "474290314",
            "telephone_number": "812-876-3343",
            "fax_number": "812-876-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 WEST HIGHWAY 46",
            "city": "ELLETTSVILLE",
            "state": "IN",
            "postal_code": "474290518",
            "telephone_number": "812-876-7330",
            "fax_number": "812-876-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPTON",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellettsville, IN

Sources for this page

Verify at the official NPI Registry.