DR. CRAIG A VANDONGEN DDS
NPI 1558584656
Dentist - Prosthodontics in Providence, RI

Active since April 10, 2007Opted out of Medicare · through Apr 21, 2028
372 IVES ST, PROVIDENCE, RI 02906(401) 831-3777 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Craig A Vandongen Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CRAIG A VANDONGEN DDS (NPI 1558584656) is an individual prosthodontics provider in Providence, Rhode Island, licensed in Rhode Island (DEN02334) and active in the NPI registry since April 2007. He has opted out of Medicare through April 21, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1558584656
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameDR. CRAIG A VANDONGENCredential: DDS
Location Address372 IVES STProvidence, RI 02906-3929
Mailing Address50 Moosehorn RdEast Greenwich, RI 02818-1112 · (401) 886-9955
Sole ProprietorYes
Enumeration DateApril 10, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1558584656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License Licensed in RI · DEN02334
Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

372 IVES ST, Providence, RI 02906

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Craig A Vandongen Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 21, 2016 through April 21, 2028.

Opt-Out Effective DateApril 21, 2016
Opt-Out In Effect ThroughApril 21, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
372 IVES ST
PROVIDENCE, RI 02906

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Craig Vandongen's NPI number?

The NPI number for Craig Vandongen is 1558584656. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Craig Vandongen located?

Craig Vandongen practices at 372 Ives St, Providence, RI 02906. The listed phone number is (401) 831-3777.

What is Craig Vandongen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Craig Vandongen enrolled in Medicare?

No. Craig Vandongen has opted out of Medicare through April 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Craig Vandongen was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.