Crown Cranial & Orthotics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CROWN CRANIAL & ORTHOTICS, LLC

Practice address

9601 N. Centennial Dr., #322
Munster, IN 46321

Phone

(219) 801-3937

Fax

(219) 301-8734

NPI assigned

Jan 15, 2026

Organization subpart

Yes

Parent organization

CROWN CRANIAL & ORTHOTICS, LLCAs reported in NPPES

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

Authorized official

Name

Timothy Roth

Title

Member

Phone

(219) 801-3937

Specialties & licenses 1

Addresses

Tax ID family

Crown Cranial Orthotics LLC3 organizations share this tax ID, including this one

Part of

Crown Cranial Orthotics LLC

Other organizations with this tax ID 2

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

• Crown Cranial & Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Crown Point, IN
  • NPI 1598452468
  NPD tax ID
• Crown Cranial & Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Valparaiso, IN
  • NPI 1700708492
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Crown Cranial & Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Crown Point, IN
  • NPI 1598452468
  NPPES parent name

Practitioners 1

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

• Kelly Ann Roth, CPO

  • Orthotist
  • Crown Point, IN
  • NPI 1790209864
  NPD

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

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1619835758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 JEANNE CT",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463070027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 N. CENTENNIAL DR., #322",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-801-3937",
            "fax_number": "219-301-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN CRANIAL & ORTHOTICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CROWN CRANIAL & ORTHOTICS, LLC",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "219-801-3937"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matoya Kamillah Covington
• Linda Cremonesi
• Kevin Crockett, RN
• Hannah Cross
• Crossroadlabs LLC
• CRS Rehabilitation Specialists of Munster
• Thalia Cuadra-Gandara
• Nicholas Paul Cuban II, D.D.S.
• Linda J Culver, LMHC, MAC
• Dionne Latrice Cunningham

• Prosthetic/Orthotic Supplier in Munster, IN
• Providers in Munster, IN by specialty
• Prosthetic/Orthotic Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.