Eastern Cranial Affiliates, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EASTERN CRANIAL AFFILIATES, LLC

Doing business as

Infinite Technologies Orthotics & Prosthetics

Practice address

10523 Main St
Fairfax, VA 22030

Phone

(703) 807-5899

Fax

(703) 807-1183

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Frank Terpenning, C.O., FAAOP

Title

Owner

Phone

(703) 807-5899

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Infinite Technologies Orthotics & Prosthetics Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Eastern Cranial Affiliates, LLC

  dba Infinite Life

  • Physical Therapy Clinic/Center
  • Fairfax, VA
  • NPI 1437689932

  0840406435

  Same PAC ID

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

Tax ID family

Eastern Cranial Affiliates LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Eastern Cranial Affiliates, LLC

  dba Infinite Technologies O&P

  • Prosthetic/Orthotic Supplier
  • Leesburg, VA
  • NPI 1437525201
  NPD tax ID
• Eastern Cranial Affiliates, LLC

  dba Infinite Life

  • Physical Therapy Clinic/Center
  • Fairfax, VA
  • NPI 1437689932
  NPD tax ID
• Eastern Cranial Affiliates, LLC

  dba Infinite Technologies Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Warrenton, VA
  • NPI 1477405363
  NPD tax ID
• Eastern Cranial Affiliates, LLC

  dba Infinite Technologies Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Fredericksburg, VA
  • NPI 1578415444
  NPD tax ID
• Eastern Cranial Affiliates, LLC

  dba Infinite Technologies Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Arlington, VA
  • NPI 1588516496
  NPD tax ID

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1508954157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10523 MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "703-807-5899",
            "fax_number": "703-807-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10523 MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "703-807-5899",
            "fax_number": "703-807-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN CRANIAL AFFILIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "TERPENNING",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-807-5899",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O., FAAOP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009190121",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "288615",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H933",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infinite Technologies Orthotics & Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eva Early
• East Coast Hospice Inc. (East Coast Hospice)
• East Coast Mobile & Transitional Care Inc
• East Coast Valley Home Health Inc
• Eastern Cranial Affiliates, LLC (Infinite Life)
• Bernadine Eastman
• Ashley Eaton England
• Ali Yashar Ebadi, MD
• Amy Ebeid, PSYD
• Colleen Ebel, LPC

• Durable Medical Equipment & Medical Supplies in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.