Organization Active NPI

Cranial Technologies Inc

  • Prosthetic/Orthotic Supplier
  • Falls Church, VA
National Provider Identifier
1366567950
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

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 IDStateProvider typePAC IDDetails
O20200604002980 VA DME Supplier - Medical Supply Company 5991824336 Practice locations: Falls Church, VA

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Cranial Technologies Inc3141 Fairview Park Dr, Falls Church, VA 22042-4532(703) 876-1600 Orthoses: Custom Fabricated Accepts assignmentParticipating since Jan 24, 2020

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 3

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

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.

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.

Verify at the official NPI Registry.