Cranial Technologies, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CRANIAL TECHNOLOGIES, INC.

Practice address

1590 Westbrook Plaza Dr Ste 101
Winston Salem, NC 27103-2939

Phone

(844) 447-5894

Fax

(844) 447-5895

NPI assigned

May 28, 2019

Organization subpart

Yes

Parent organization

CRANIAL TECHNOLOGIES, INC.As reported in NPPES

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

Authorized official

Name

Tammy Jones

Title

National Facilities Director

Phone

(480) 403-6330

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

Part of

Cranial Technologies Inc

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1659938306",
    "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": "844-447-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 WESTBROOK PLAZA DR STE 101",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032939",
            "telephone_number": "844-447-5894",
            "fax_number": "844-447-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIAL TECHNOLOGIES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRANIAL TECHNOLOGIES, INC.",
        "enumeration_date": "2019-05-28",
        "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": "NATIONAL FACILITIES DIRECTOR",
        "authorized_official_telephone_number": "480-403-6330"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Louise Cralidis, MA CCC/SP
• Christina Kehl Cramer, MD
• Mary Suzanne Cramer, NP
• Lacy Crane, PA
• Tyler Lee Cranford, PA-C
• Madison Nicole Crank, MD
• Jennifer Ruth Cranny, MD
• A Lynn Cranor, CRNA
• Brandon Lee Craven, M.D.
• Caitlin Amanda Craven, MA, CCC-SLP

• Prosthetic/Orthotic Supplier in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• 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.
• 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.