Craniom LLC

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

Legal business name

CRANIOM LLC

Practice address

575 Los Altos Cir
Mesquite, NV 89027-2523

Phone

(701) 388-5390

NPI assigned

Oct 18, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Tritchler, RPSGT, R.EPT, CNIMNPI 1023392552

Title

Manager

Phone

(701) 388-5390

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Scott Mochizuki, PH.D. D.ABNM

  • Audiologist
  • Salt Lake City, UT
  • NPI 1871679787

  Clinical Neurophysiology, NV

  Medicare reassignment Care Compare group NPD
• Eli S Neiman, D.O.

  • Neurology Physician
  • Farmers Branch, TX
  • NPI 1437363538

  NV

  Medicare reassignment Care Compare group NPD
• James Tritchler, IOMT

  • Electroneurodiagnostic Specialist/Technologist
  • Fort Collins, CO
  • NPI 1023392552

  Electroneurodiagnostic

  NPD Authorized official

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1396256293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LOS ALTOS CIR",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890272523",
            "telephone_number": "701-388-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 LOS ALTOS CIR",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890272523",
            "telephone_number": "701-388-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "TRITCHLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "701-388-5390",
        "authorized_official_credential": "RPSGT, R.EPT, CNIM"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": "3282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Copeland
• Cosmopolitan Dental
• Cottonwood Clinical Services, LLC
• Sherie Lynn Coules
• Sean Neil Covey, C.R.N.A.
• Todd Michael Cravens, PA-C
• Crimson Heights LLC
• Veronica Cruz
• Jerickson Cu, PT
• Lori L Damico

• All providers in Mesquite, NV
• Clinical Neurophysiology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.