Healthcare Provider Details

I. General information

NPI: 1427370782
Provider Name (Legal Business Name): MICHAEL ROBERT COMPTON FNP-C, D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2010
Last Update Date: 05/24/2025
Certification Date: 05/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1757 E BASELINE RD STE 105
GILBERT AZ
85233-1533
US

IV. Provider business mailing address

70 S VAL VISTA DR # A3-646
GILBERT AZ
85296-1374
US

V. Phone/Fax

Practice location:
  • Phone: 480-508-2700
  • Fax: 866-371-2839
Mailing address:
  • Phone: 480-508-2700
  • Fax: 480-247-4103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number8119
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberAP8147
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP8147
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: