Cranial Crown Prosthesis

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CRANIAL CROWN PROSTHESIS

Practice address

27170 Lakeview Dr Ste 403
Helendale, CA 92342-7811

Phone

(760) 590-8561

NPI assigned

Apr 19, 2024

Last updated

Apr 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Leila DurantNPI 1316624679

Title

Ceo

Phone

(760) 590-8561

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leila Durant

  • Prosthetic/Orthotic Supplier
  • Fort Irwin, CA
  • NPI 1316624679

  Durable Medical Equipment & Medical Supplies

  NPD Authorized official

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1083469431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1407",
            "city": "HELENDALE",
            "state": "CA",
            "postal_code": "923421407",
            "telephone_number": "760-590-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27170 LAKEVIEW DR STE 403",
            "city": "HELENDALE",
            "state": "CA",
            "postal_code": "923427811",
            "telephone_number": "760-590-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIAL CROWN PROSTHESIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "DURANT",
        "authorized_official_first_name": "LEILA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-590-8561",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Byrd
• Claudia P Camacho
• Matthew Cathern Jr., MA
• Tobias Cheng, PPS
• Comprehensive Holistic Healthcare, LLC
• Paula Joy Espinosa-Shaw
• Everywhere Medical Transportation LLC
• Starrkenya Khadija Frierson
• Kaitlyn Lee Harrison
• Helendale School District

• Durable Medical Equipment & Medical Supplies in Helendale, CA
• Providers in Helendale, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.