Active NPI
Stephen Stoneburner
- Hearing Instrument Specialist
- Grand Haven, MI
National Provider Identifier
1366693095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 3501005096
- Practice address
- 1128 Robbins Rd
Grand Haven, MI 49417-2740 - Phone
- (616) 850-8800
- NPI assigned
- Sep 30, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 3501005096 | MI | Primary |
Addresses
Primary practice location
1128 Robbins Rd
Grand Haven, MI 49417-2740
Mailing address
5000 Cheshire Pkwy N
Plymouth, MN 55446-4103
Phone (763) 268-4084
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3501005096 | MI | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249603200000",
"number": "1366693095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 CHESHIRE PKWY N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554464103",
"telephone_number": "763-268-4084",
"fax_number": "763-268-4240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1128 ROBBINS RD",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494172740",
"telephone_number": "616-850-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONEBURNER",
"first_name": "STEPHEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-30",
"last_updated": "2009-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MI",
"license": "3501005096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.