Organization Active NPI

Compton Shoe Inc

  • Prosthetic/Orthotic Supplier
  • Oklahoma City, OK
National Provider Identifier
1881672707
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
COMPTON SHOE INC
Practice address
3703 NW 50TH St
Oklahoma City, OK 73112-2553
Phone
(405) 946-3668
Fax
(405) 946-1650
NPI assigned
Jan 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Mr. Harlon David Compton, CPED MED BS
Title
Ceo
Phone
(405) 946-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

3703 NW 50TH St
Oklahoma City, OK 73112-2553

Mailing address

3703 NW 50TH St
Oklahoma City, OK 73112-2553
Phone (405) 946-3668

Other identifiers 1

IdentifierTypeStateIssuer
100806500AMedicaidOK

Other names 1

  • Compton Orthopedic Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930064556 OK DME Supplier - Orthotic Personnel 9335267152 Practice locations: Oklahoma City, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Compton Orthopedic Service3703 NW 50TH St, Oklahoma City, OK 73112-2553(405) 946-3668 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Jan 1, 2005

National Provider Directory

National Provider Directory

Locations

6117 S Mingo Rd
Ste F
Tulsa, OK 74133
Phone (918) 294-0588

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1881672707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 NW 50TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122553",
            "telephone_number": "405-946-3668",
            "fax_number": "405-946-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 NW 50TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122553",
            "telephone_number": "405-946-3668",
            "fax_number": "405-946-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPTON SHOE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2023-04-28",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "COMPTON",
        "authorized_official_first_name": "HARLON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-946-3668",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPED MED BS"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100806500A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compton Orthopedic Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Compton Orthopedic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.