Organization Active NPI

Cranial Technologies, Inc.

  • Customized Equipment (DME)
  • Austin, TX
National Provider Identifier
1578688164
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
CRANIAL TECHNOLOGIES, INC.
Practice address
1111 W 34TH St
Suite 204
Austin, TX 78705-1900
Phone
(512) 374-0089
Fax
(512) 374-0751
NPI assigned
Mar 20, 2007
Last updated
Aug 24, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CRANIAL TECHNOLOGIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
Tammy Jones
Title
Business Resources Manager
Phone
(480) 403-6330

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU Primary
Prosthetic/Orthotic Supplier 335E00000X NU

Addresses

Primary practice location

1111 W 34TH St
Suite 204
Austin, TX 78705-1900

Mailing address

1405 W Auto Dr FL 2
Tempe, AZ 85284-1016
Phone (480) 403-6300

Other identifiers 1

IdentifierTypeStateIssuer
009929302MedicaidTX

National Provider Directory

National Provider Directory
Part of
Cranial Technologies Inc

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1578688164",
    "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": "1111 W 34TH ST",
            "address_2": "SUITE 204",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051900",
            "telephone_number": "512-374-0089",
            "fax_number": "512-374-0751"
        }
    ],
    "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": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "BUSINESS RESOURCES MANAGER",
        "authorized_official_telephone_number": "480-403-6330"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009929302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.