Active NPI
Van Doorne Inc
- Assistive Technology Practitioner Audiologist
- Holland, MI
National Provider Identifier
1295950145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Practitioner Audiologist
- Legal business name
- VAN DOORNE INC
- Practice address
- 391 Garden Ave
Holland, MI 49424-9602 - Phone
- (616) 218-0347
- NPI assigned
- Apr 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Craig Vandoorne, HIS
- Title
- Owner
- Phone
- (616) 796-9387
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistive Technology Practitioner Audiologist | 231HA2400X | MI | Primary |
Addresses
Primary practice location
391 Garden Ave
Holland, MI 49424-9602
Mailing address
391 Garden Ave
Holland, MI 49424-9602
Phone (616) 218-0347
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4729720 | Medicaid | MI |
Other names 1
- KA VanDoorne and Assoc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
391 Garden Ave
Holland, MI 49424
Phone (616) 218-0347
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Norton Shores, MI
- NPI 1407532641
-
- Hearing Instrument Specialist
- Holland, MI
- NPI 1275994840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722470400000",
"number": "1295950145",
"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": "616-218-0347"
},
{
"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": "616-218-0347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAN DOORNE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-16",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A",
"authorized_official_last_name": "VANDOORNE",
"authorized_official_first_name": "CRAIG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-796-9387",
"authorized_official_credential": "HIS"
},
"taxonomies": [
{
"code": "231HA2400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4729720",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "KA VanDoorne and Assoc",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.