Organization Active NPI

Carolyn D. Hoekstra

  • Specialist
  • Battle Creek, MI
National Provider Identifier
1861605040
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
CH041923 Issued in MI
Legal business name
CAROLYN D. HOEKSTRA
Practice address
363 Fremont St
Suite 208
Battle Creek, MI 49017-3389
Phone
(269) 969-6216
Fax
(269) 969-6250
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Mrs. Dana Lynn Harding
Title
Office Manager
Phone
(269) 969-6216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X CH041923 MI Primary

Addresses

Primary practice location

363 Fremont St
Suite 208
Battle Creek, MI 49017-3389

Mailing address

363 Fremont St
Suite 208
Battle Creek, MI 49017-3389
Phone (269) 969-6216

Other identifiers 1

IdentifierTypeStateIssuer
CK4029OtherRAILROAD MEDICARE

Other names 1

  • hoekstra & hoekstra Other name

National Provider Directory

National Provider Directory

Locations

391 S Shore Dr
Ste 112
Battle Creek, MI 49014
Phone (269) 964-9408

Practitioners & affiliated clinicians

Practitioners 2

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": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1861605040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 FREMONT ST",
            "address_2": "SUITE 208",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173389",
            "telephone_number": "269-969-6216",
            "fax_number": "269-969-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 FREMONT ST",
            "address_2": "SUITE 208",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173389",
            "telephone_number": "269-969-6216",
            "fax_number": "269-969-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN D. HOEKSTRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "HARDING",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "269-969-6216",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "CH041923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK4029",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "hoekstra & hoekstra",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.