Individual provider Active NPI

Anne Ashley Compton, DDS

  • Pediatric Dentistry
  • Schaumburg, IL
National Provider Identifier
1801235189
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
021002787 Issued in IL
Practice address
80 W Hillcrest Blvd Ste 212
Schaumburg, IL 60195-3111
Phone
(919) 624-2067
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401414083 VA
Pediatric Dentistry 1223P0221X 021002787 IL Primary

Addresses

Primary practice location

80 W Hillcrest Blvd Ste 212
Schaumburg, IL 60195-3111

Mailing address

1350 N. Lake Shore Dr.
Apt 511
Chicago, IL 60610
Phone (919) 624-2067

Other practice location 1

101 Aubreys Loop
South Boston, VA 24592-5056
Phone (919) 624-2067

Other identifiers 1

IdentifierTypeStateIssuer
0401414083OtherVALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20151111000618 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4880904457

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401414083VAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801235189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 N. LAKE SHORE DR.",
            "address_2": "APT 511",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60610",
            "telephone_number": "919-624-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 W HILLCREST BLVD STE 212",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953111",
            "telephone_number": "919-624-2067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Aubreys Loop",
            "address_purpose": "LOCATION",
            "city": "South Boston",
            "state": "VA",
            "postal_code": "245925056",
            "country_code": "US",
            "telephone_number": "919-624-2067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMPTON",
        "first_name": "ANNE",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414083",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "021002787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0401414083",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.