Individual provider Active NPI

E. Joseph Lecompte, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Port Orange, FL
National Provider Identifier
1760609804
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN00007283 Issued in FL
Practice address
3890 Turtle Creek Dr Ste a
Port Orange, FL 32127-9352
Phone
(386) 761-5440
Fax
(386) 760-0474
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN00007283 FL Primary

Addresses

Primary practice location

3890 Turtle Creek Dr Ste a
Port Orange, FL 32127-9352

Mailing address

3890 Turtle Creek Dr Ste a
Port Orange, FL 32127-9352
Phone (386) 761-5440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN00007283FLMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Staudt Dental, LLC Current Accepting new patients
Spruce Dental, LLC Current Accepting new patients
L & L Port Orange, LLC Past Accepting new patients
L & L DB, LLC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760609804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 TURTLE CREEK DR STE A",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279352",
            "telephone_number": "386-761-5440",
            "fax_number": "386-760-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 TURTLE CREEK DR STE A",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279352",
            "telephone_number": "386-761-5440",
            "fax_number": "386-760-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECOMPTE",
        "first_name": "E.",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN00007283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.