Active NPI
Cranial Technologies Inc
- Prosthetic/Orthotic Supplier
- Falls Church, VA
National Provider Identifier
1366567950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- CRANIAL TECHNOLOGIES INC
- Practice address
- 3141 Fairview Park Dr Ste 200
Falls Church, VA 22042-4532 - Phone
- (703) 876-1600
- Fax
- (703) 876-0978
- NPI assigned
- Mar 20, 2007
- 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
3141 Fairview Park Dr Ste 200
Falls Church, VA 22042-4532
Mailing address
1405 W Auto Dr FL 2
Tempe, AZ 85284-1016
Phone (480) 403-6300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200604002980 | VA | DME Supplier - Medical Supply Company | 5991824336 | Practice locations: Falls Church, VA |
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 | 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 3
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Prosthetic/Orthotic Supplier
- Norfolk, VA
- NPI 1376102053
-
- Prosthetic/Orthotic Supplier
- Fredericksburg, VA
- NPI 1477410389
-
- Prosthetic/Orthotic Supplier
- Richmond, VA
- NPI 1609433341
Locations
3299 Woodburn Rd
Ste 320
Annandale, VA 22003
Phone (703) 573-0366
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Reproductive Endocrinology Physician
- Fairfax, VA
- NPI 1629009543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733961600000",
"number": "1366567950",
"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": "852841016",
"telephone_number": "480-403-6300",
"fax_number": "480-505-1842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3141 FAIRVIEW PARK DR STE 200",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220424532",
"telephone_number": "703-876-1600",
"fax_number": "703-876-0978"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRANIAL TECHNOLOGIES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CRANIAL TECHNOLOGIES INC",
"enumeration_date": "2007-03-20",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"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 Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.