Craniofacial Pain & Sleep Center, PLLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

202172 Issued in CO

Legal business name

CRANIOFACIAL PAIN & SLEEP CENTER, PLLC

Practice address

2627 Redwing Rd
Suite 300
Fort Collins, CO 80526-6321

Phone

(970) 484-0250

Fax

(970) 484-1522

NPI assigned

Jan 4, 2016

Last updated

Jun 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kingdon Brady, D.D.S.NPI 1255393765

Title

Owner

Phone

(970) 484-0250

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kingdon Kibble Brady, D.D.S.

  • General Practice Dentistry
  • Fort Collins, CO
  • NPI 1255393765
  Authorized official Same address or phone

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1992161129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 REDWING RD",
            "address_2": "SUITE 300",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266321",
            "telephone_number": "970-484-0250",
            "fax_number": "970-484-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 REDWING RD",
            "address_2": "SUITE 300",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266321",
            "telephone_number": "970-484-0250",
            "fax_number": "970-484-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIOFACIAL PAIN & SLEEP CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "KINGDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-484-0250",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CO",
            "license": "202172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "7509330001",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark David Crane, D.D.S, M.S., P.C.
• Quincy Noelle Crane, MMS, PA-C
• Cranfill Dental
• Clark Cranfill, DDS
• Cranial Technologies, Inc.
• Craniofacial Pain and Sleep Center
• Dawna Cranmer
• John David Cranor, MD
• Winfield Mark Craven, MD
• Elizabeth Laura Cravens, M.A.,CCC-SLP

• Customized Equipment (DME) in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Customized Equipment (DME) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.