Cranial Prosthesis Medical Wigs

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CRANIAL PROSTHESIS MEDICAL WIGS

Practice address

8763 N Orange Ave Ste 500
Orlando, FL 32801-2438

Phone

(612) 327-3493

NPI assigned

Apr 15, 2021

Last updated

Apr 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Koree Walton

Title

Owner

Phone

(612) 327-3493

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1548841232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8763 N ORANGE AVE STE 500",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012438",
            "telephone_number": "612-327-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8763 N ORANGE AVE STE 500",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012438",
            "telephone_number": "612-327-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIAL PROSTHESIS MEDICAL WIGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "KOREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-327-3493"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "4073054934",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "8763 N Orange Ave Ste 500",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328012438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Marie Crane, ARNP
• Camille Rose Crane, DO
• Stephen S Crane, M.D.
• Alessa Leigh Craner
• Cranial Crush & Co LLC
• Cranial Technologies Inc
• William H Crannick, CRNA
• Christian Dean Crapo
• Ann Marie Craven-Adithya, BEHAVIOR TECHNICIAN
• Andrew K Craven

• Prosthetic/Orthotic Supplier in Orlando, FL
• Providers in Orlando, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.