Active NPI
Cranial Technologies, Inc.
- Prosthetic/Orthotic Supplier
- Memphis, TN
National Provider Identifier
1134934656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- CRANIAL TECHNOLOGIES, INC.
- Practice address
- 6060 Primacy Pkwy Ste 370
Memphis, TN 38119-5745 - Phone
- (844) 447-5894
- NPI assigned
- Feb 11, 2025
- Organization subpart
- Yes
- Parent organization
- CRANIAL TECHNOLOGIES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Oumou K Bah
- Title
- Compliance & Medicaid Specialist
- Phone
- (602) 393-8188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
6060 Primacy Pkwy Ste 370
Memphis, TN 38119-5745
Mailing address
1405 W Auto Dr FL 2
Tempe, AZ 85284-1227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250701002922 | TN | DME Supplier - Medical Supply Company | 5991824336 | Practice locations: Memphis, TN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Cranial Technologies, Inc. | Orthoses: Custom Fabricated|Facial Prostheses | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Cranial Technologies Inc
- Part of
- Cranial Technologies Inc
Organizations with this tax ID in the same state 2
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Prosthetic/Orthotic Supplier
- Knoxville, TN
- NPI 1104710300
-
- Prosthetic/Orthotic Supplier
- Murfreesboro, TN
- NPI 1891635637
Locations
6060 E Primacy Pkwy
Ste 370
Memphis, TN 38119
Phone (901) 295-1038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739232000000",
"number": "1134934656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 W AUTO DR FL 2",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852841227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6060 PRIMACY PKWY STE 370",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195745",
"telephone_number": "844-447-5894"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRANIAL TECHNOLOGIES, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CRANIAL TECHNOLOGIES, INC.",
"enumeration_date": "2025-02-11",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A",
"authorized_official_last_name": "BAH",
"authorized_official_first_name": "OUMOU",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "COMPLIANCE & MEDICAID SPECIALIST",
"authorized_official_telephone_number": "602-393-8188"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.