Organization Active NPI

Crown Cranial & Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Valparaiso, IN
National Provider Identifier
1700708492
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CROWN CRANIAL & ORTHOTICS, LLC
Practice address
401 Wall St Unit H
Valparaiso, IN 46383-2585
Phone
(219) 801-3937
Fax
(219) 301-8734
NPI assigned
Jul 27, 2026
Last updated
Jul 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CROWN CRANIAL & ORTHOTICS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

401 Wall St Unit H
Valparaiso, IN 46383-2585

Mailing address

1148 Jeanne CT
Crown Point, IN 46307-0027

National Provider Directory

National Provider Directory
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.

Locations

401 Wall St
Unit H
Valparaiso, IN 46383
Phone (219) 801-3937

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1700708492",
    "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": "401 WALL ST UNIT H",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832585",
            "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": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "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": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.