Individual provider Active NPI

Stylianos G Dokianakis, AU.D.

  • Audiologist
  • Holland, MI
National Provider Identifier
1881615946
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000550 Issued in MI
Practice address
399 E 32ND St
Holland Audiology, PLLC
Holland, MI 49423-5518
Phone
(616) 392-2222
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000550 MI Primary

Addresses

Primary practice location

399 E 32ND St
Holland Audiology, PLLC
Holland, MI 49423-5518

Mailing address

399 E 32ND St
Holland Audiology, PLLC
Holland, MI 49423-5518
Phone (616) 392-2222

Other identifiers 3

IdentifierTypeStateIssuer
1601000550OtherMISTATE LICENSE
1617220OtherPAHIGHMARK
AT005850OtherPASTATE LICENSE

Other names 1

  • Dr. Stelios G Dokianakis Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100922001010 MI Practitioner - Qualified Audiologist 1658355813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holland Audiology PLLCGroup PAC ID 9537312780, 3 clinicians

Practice addresses (Care Compare)

399 E 32ND St
Holland Doctors of Audiology
Holland, MI 49423-5518
Phone (616) 392-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holland Audiology, PLLC Audiologist CurrentSince Jan 1, 2012 Accepting new patients

Locations

399 E 32nd St
Ste 70
Holland, MI 49423
Phone (616) 392-2222

399 E 32nd St
Holland, MI 49423
Phone (616) 392-2222

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352764800000",
    "number": "1881615946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E 32ND ST",
            "address_2": "HOLLAND AUDIOLOGY, PLLC",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494235518",
            "telephone_number": "616-392-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E 32ND ST",
            "address_2": "HOLLAND AUDIOLOGY, PLLC",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494235518",
            "telephone_number": "616-392-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOKIANAKIS",
        "first_name": "STYLIANOS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2012-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1601000550",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1617220",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AT005850",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STELIOS",
            "last_name": "DOKIANAKIS",
            "middle_name": "G",
            "prefix": "DR.",
            "credential": "AU.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.