Organization Active NPI

Cranial Technologies, Inc.

  • Prosthetic/Orthotic Supplier
  • Fort Wayne, IN
National Provider Identifier
1316834864
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CRANIAL TECHNOLOGIES, INC.
Practice address
3400 E Coliseum Blvd Ste 310
Fort Wayne, IN 46805-1643
Phone
(844) 447-5894
NPI assigned
Jun 18, 2025
Organization subpart
Yes
Parent organization
CRANIAL TECHNOLOGIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

3400 E Coliseum Blvd Ste 310
Fort Wayne, IN 46805-1643

Mailing address

1405 W Auto Dr FL 2
Tempe, AZ 85284-1227

National Provider Directory

National Provider Directory
Tax ID family
Cranial Technologies Inc105 organizations share this tax ID, including this one
Part of
Cranial Technologies Inc

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

3400 E Coliseum Blvd
Ste 310
Fort Wayne, IN 46805

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1316834864",
    "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": "3400 E COLISEUM BLVD STE 310",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468051643",
            "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": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "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 Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.