Individual provider Active NPI

Craig Vandoorne, BC-HIS

  • Hearing Instrument Specialist
  • Holland, MI
National Provider Identifier
1275994840
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
3501004726 Issued in MI
Practice address
391 Garden Ave
Holland, MI 49424-9602
Phone
(616) 796-9387
Fax
(616) 796-9388
NPI assigned
Mar 10, 2016
Last updated
May 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 3501004726 MI Primary

Addresses

Primary practice location

391 Garden Ave
Holland, MI 49424-9602

Mailing address

391 Garden Ave
Holland, MI 49424-9602
Phone (616) 796-9387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3501004726MIMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Van Doorne Inc CurrentSince Jul 1, 2022 Accepting new patients

Locations

391 Garden Ave
Holland, MI 49424
Phone (616) 218-0347

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1275994840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 GARDEN AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494249602",
            "telephone_number": "616-796-9387",
            "fax_number": "616-796-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 GARDEN AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494249602",
            "telephone_number": "616-796-9387",
            "fax_number": "616-796-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDOORNE",
        "first_name": "CRAIG",
        "name_prefix": "Mr.",
        "credential": "BC-HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-10",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MI",
            "license": "3501004726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.