NPIMap

Organization Active NPI

Cranio Ninja LLC

  • Durable Medical Equipment & Medical Supplies
  • Layton, UT
National Provider Identifier
1700483567
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CRANIO NINJA LLC
Doing business as
Peak Prosthetics
Practice address
975 N Main St Ste 3a
Layton, UT 84041-2200
Phone
(801) 702-9191
NPI assigned
Oct 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Authorized official

Name
Devan Griner, MDNPI 1780895755
Title
Owner
Phone
(801) 702-9191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

975 N Main St Ste 3a
Layton, UT 84041-2200

Mailing address

1055 N 300 W Ste 301
Provo, UT 84604-3373

Other names 1

  • Peak Prosthetics Doing business as

National Provider Directory

National Provider Directory

Locations

975 N Main St
Ste 3A
Layton, UT 84041
Phone (385) 377-3833

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1700483567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 301",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 N MAIN ST STE 3A",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412200",
            "telephone_number": "801-702-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIO NINJA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "GRINER",
        "authorized_official_first_name": "DEVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-702-9191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.