Organization Active NPI

Cranial Kids LLC

Doing business as Cranial Kids

  • Durable Medical Equipment & Medical Supplies
  • Colorado Springs, CO
National Provider Identifier
1770065237
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CRANIAL KIDS LLC
Doing business as
Cranial Kids
Practice address
520 W Buena Ventura St Ste 115
Colorado Springs, CO 80907-7206
Phone
(719) 896-5924
Fax
(719) 960-2074
NPI assigned
Aug 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Kristen Michelle ThessingNPI 1093221384
Title
Owner and Practitioner
Phone
(719) 684-4008

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X 02572 CO
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 224P00000X 02572 CO
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

520 W Buena Ventura St Ste 115
Colorado Springs, CO 80907-7206

Mailing address

1624 Sand Rd
Woodland Park, CO 80863-9206
Phone (171) 968-4400

Other names 1

  • Cranial Kids Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181017003460 CO DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 2365794419 Practice locations: Colorado Springs, CO

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Cranial Kids520 W Buena Ventura St, Colorado Springs, CO 80907-7206(719) 896-5924 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Accepts assignmentParticipating since May 23, 2018

National Provider Directory

National Provider Directory

Locations

520 W Buena Ventura St
Ste 115
Colorado Springs, CO 80907
Phone (719) 896-5924

617 N 17th St
Ste 102
Colorado Springs, CO 80904
Phone (719) 684-4008

520 W Buena Ventura St
Colorado Springs, CO 80907
Phone (719) 510-2885

406 E Grace Ave
Ste B
Woodland Park, CO 80863
Phone (719) 684-4008

Practitioners & affiliated clinicians

Practitioners 1

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": "1535673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1770065237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 SAND RD",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808639206",
            "telephone_number": "171-968-4400",
            "fax_number": "719-960-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W BUENA VENTURA ST STE 115",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077206",
            "telephone_number": "719-896-5924",
            "fax_number": "719-960-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIAL KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-31",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "THESSING",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER AND PRACTITIONER",
        "authorized_official_telephone_number": "719-684-4008"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": "CO",
            "license": "02572",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": "CO",
            "license": "02572",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cranial Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.