NPIMap

Organization Active NPI

Compton and Broomhead Dental Center, LLC

  • Dental Clinic/Center
  • Munster, IN
National Provider Identifier
1780041731
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
XF900678 Issued in IN
Legal business name
COMPTON AND BROOMHEAD DENTAL CENTER, LLC
Practice address
901 Fran Lin Pkwy
Munster, IN 46321-3540
Phone
(219) 836-0881
Fax
(219) 836-1174
NPI assigned
Jan 21, 2016
Last updated
Jan 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Dr. Eric A Compton, DDSNPI 1063549699
Title
Owner/Doctor
Phone
(219) 836-0881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X XF900678 IN Primary

Addresses

Primary practice location

901 Fran Lin Pkwy
Munster, IN 46321-3540

Mailing address

901 Fran Lin Pkwy
Munster, IN 46321-3540
Phone (219) 836-0881

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1780041731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 FRAN LIN PKWY",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213540",
            "telephone_number": "219-836-0881",
            "fax_number": "219-836-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 FRAN LIN PKWY",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213540",
            "telephone_number": "219-836-0881",
            "fax_number": "219-836-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPTON AND BROOMHEAD DENTAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "COMPTON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "219-836-0881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "XF900678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.