NPIMap

Organization Active NPI

David W. Compton, DMD, Ms, PC

  • Periodontics
  • Clackamas, OR
National Provider Identifier
1992099964
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
DAVID W. COMPTON, DMD, MS, PC
Practice address
10163 SE Sunnyside Rd
Suite 450
Clackamas, OR 97015-5743
Phone
(503) 652-2615
Fax
(503) 654-7561
NPI assigned
Jun 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Mary Compton
Title
Office Manager
Phone
(503) 652-2615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

10163 SE Sunnyside Rd
Suite 450
Clackamas, OR 97015-5743

Mailing address

10163 SE Sunnyside Rd
Suite 450
Clackamas, OR 97015-5743
Phone (503) 652-2615

National Provider Directory

National Provider Directory

Locations

10163 SE Sunnyside Rd
Ste 450
Clackamas, OR 97015
Phone (503) 652-2615

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1992099964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10163 SE SUNNYSIDE RD",
            "address_2": "SUITE 450",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155743",
            "telephone_number": "503-652-2615",
            "fax_number": "503-654-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10163 SE SUNNYSIDE RD",
            "address_2": "SUITE 450",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155743",
            "telephone_number": "503-652-2615",
            "fax_number": "503-654-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W. COMPTON, DMD, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "COMPTON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-652-2615"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.