NPIMap

Organization Active NPI

Cranial Technologies, Inc.

  • Prosthetic/Orthotic Supplier
  • Grapevine, TX
National Provider Identifier
1871191643
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CRANIAL TECHNOLOGIES, INC.
Practice address
2020 W State Highway 114 Ste 360
Grapevine, TX 76051-8649
Phone
(844) 447-5894
Fax
(844) 447-5895
NPI assigned
Oct 14, 2020
Last updated
Aug 24, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CRANIAL TECHNOLOGIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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 1

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

Addresses

Primary practice location

2020 W State Highway 114 Ste 360
Grapevine, TX 76051-8649

Mailing address

1405 W Auto Dr FL 2
Tempe, AZ 85284-1016
Phone (480) 403-6300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240903000981 TX DME Supplier - Medical Supply Company 5991824336 Practice locations: Grapevine, TX

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 Technologies, Inc.2020 W State Highway 114, Grapevine, TX 76051-8606(817) 796-7480 Orthoses: Custom Fabricated|Facial Prostheses Accepts assignmentParticipating since Jan 24, 2020

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 11

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

Locations

2020 W State Highway 114
Ste 360
Grapevine, TX 76051
Phone (817) 796-7480

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1871191643",
    "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": "2020 W STATE HIGHWAY 114 STE 360",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518649",
            "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": "2020-10-14",
        "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": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • 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.