NPIMap

Organization Active NPI

Cranial Technologies, Inc.

  • Prosthetic/Orthotic Supplier
  • Shenandoah, TX
National Provider Identifier
1396157541
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CRANIAL TECHNOLOGIES, INC.
Practice address
121 Vision Park Blvd Ste 240
Shenandoah, TX 77384-3026
Phone
(936) 271-1900
NPI assigned
May 22, 2014
Last updated
Jul 31, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CRANIAL TECHNOLOGIES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 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

121 Vision Park Blvd Ste 240
Shenandoah, TX 77384-3026

Mailing address

1405 W Auto Dr FL 2
Tempe, AZ 85284-1016
Phone (480) 505-1840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241212004444 TX DME Supplier - Medical Supply Company 5991824336 Practice locations: Shenandoah, TX

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, Inc.121 Vision Park Blvd, Shenandoah, TX 77384-3026(936) 271-1900 Orthoses: Custom Fabricated|Facial Prostheses Accepts assignmentParticipating since Jan 24, 2020

National Provider Directory

National Provider Directory
Tax ID family
Cranial Technologies Inc107 organizations share this tax ID, including this one
Part of
Cranial Technologies Inc

Organizations with this tax ID in the same state 11

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

Locations

121 Vision Park Blvd
Ste 240
Shenandoah, TX 77384
Phone (936) 271-1900

128 Vision Park Blvd
Ste 100
Shenandoah, TX 77384
Phone (936) 271-1900

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1396157541",
    "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": "480-505-1840",
            "fax_number": "480-705-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 VISION PARK BLVD STE 240",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843026",
            "telephone_number": "936-271-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIAL TECHNOLOGIES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRANIAL TECHNOLOGIES INC",
        "enumeration_date": "2014-05-22",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "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 Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.