Active NPI
Ian Welch Compton, DDS
- General Practice Dentistry
- Council Bluffs, IA
National Provider Identifier
1770008575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS-09530
- Practice address
- 300 W Broadway Ste 30
Council Bluffs, IA 51503-9053 - Phone
- (712) 256-9639
- Fax
- (712) 256-9690
- NPI assigned
- Aug 14, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7398 | NE | |
| General Practice Dentistry | 1223G0001X | DDS-09530 | IA | Primary |
Addresses
Primary practice location
300 W Broadway Ste 30
Council Bluffs, IA 51503-9053
Mailing address
6512 Decatur St
Omaha, NE 68104-4736
Phone (503) 367-2686
Other practice location 1
4267 S 144th St
Omaha, NE 68137-1053
Phone (402) 926-4111
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7398 | NE | MD | Social Worker |
| DDS-09530 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 144TH Omaha Emergency Dental | Dentist | Past | Accepting new patients |
| Abz Dental PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Omaha, NE
- NPI 1407138415
-
- General Practice Dentistry
- Philadelphia, PA
- NPI 1811531114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1770008575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6512 DECATUR ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681044736",
"telephone_number": "503-367-2686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W BROADWAY STE 30",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515039053",
"telephone_number": "712-256-9639",
"fax_number": "712-256-9690"
}
],
"practiceLocations": [
{
"address_1": "4267 S 144th St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681371053",
"country_code": "US",
"telephone_number": "402-926-4111",
"fax_number": "402-393-2886",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COMPTON",
"first_name": "IAN",
"middle_name": "WELCH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-14",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "7398",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "DDS-09530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.