Organization Active NPI

Cranial Technologies, Inc.

  • Prosthetic/Orthotic Supplier
  • Greenville, SC
National Provider Identifier
1811637309
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CRANIAL TECHNOLOGIES, INC.
Practice address
1003 Grove Rd Ste F
Greenville, SC 29605-4623
Phone
(844) 447-5894
NPI assigned
Mar 31, 2022
Last updated
Mar 31, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CRANIAL TECHNOLOGIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Oumou K Bah
Title
Process Improvement Specialist
Phone
(026) 393-8188

Specialties & licenses 1

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

Addresses

Primary practice location

1003 Grove Rd Ste F
Greenville, SC 29605-4623

Mailing address

1405 W Auto Dr FL 2
Tempe, AZ 85284-1227

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230117001880 SC DME Supplier - Medical Supply Company 5991824336 Practice locations: Greenville, SC

National Provider Directory

National Provider Directory
Tax ID family
Cranial Technologies Inc109 organizations share this tax ID, including this one
Part of
Cranial Technologies Inc

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1811637309",
    "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": "852841227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 GROVE RD STE F",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054623",
            "telephone_number": "844-447-5894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIAL TECHNOLOGIES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRANIAL TECHNOLOGIES, INC.",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "BAH",
        "authorized_official_first_name": "OUMOU",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PROCESS IMPROVEMENT SPECIALIST",
        "authorized_official_telephone_number": "026-393-8188"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.