CRANIAL TECHNOLOGIES INC (NPI# 1235541574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235541574 |
| Entity Type | Organization |
| Organization Name | CRANIAL TECHNOLOGIES INC |
| Practice Address |
1333 W Belmont Ave Ste 340 Chicago IL 60657-5785 |
| Mailing Address |
1395 W Auto Dr Tempe AZ 85284-1026 |
| Practice Telephone | 8444475894 |
| Practice Fax Number | 8444475895 |
| Mailing Telephone | 4805051840 |
| Mailing Fax Number | 4805051842 |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2019-01-22 |
| Authorized Official Name | TAMMY JONES (NAT'L FAC DIR/REVENUE CYCLE DIR) |
| Authorized Official Telephone | 4804036330 |
| Is Organization Subpart | Y |
| Parent Organization Name | CRANIAL TECHNOLOGIES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710465166 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 10603 N Meridian St Ste 120, Indianapolis, IN 46290-1055 | 2018-07-29 |
| 1659873271 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 14 Pidgeon Hill Dr Ste 410, Sterling, VA 20165-6155 | 2018-02-28 |
| 1205338860 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 10750 Columbia Pike Ste 100, Silver Spring, MD 20901-4402 | 2018-02-28 |
| 1922528959 | Cranial Technologies Inc | Durable Medical Equipment & Medical Supplies | 10907 Memorial Hermann Dr Ste 410, Pearland, TX 77584-4114 | 2017-06-21 |
| 1861946584 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 1000 Southhill Dr, Suite 150, Cary, NC 27513-8630 | 2016-08-10 |
| 1174999858 | Cranial Technologies Inc | Durable Medical Equipment & Medical Supplies | 5901 Peachtree Dunwoody Rd Ste A155, Atlanta, GA 30328-5382 | 2015-08-17 |
| 1649396789 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 7000 Sw 62nd Ave Ste 400a, South Miami, FL 33143-4716 | 2007-03-21 |
| 1811012495 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 2 University Plz, Suite 111, Hackensack, NJ 07601-6202 | 2007-03-20 |
| 1922123538 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 1343 Boston Post Rd, Suite 102, Madison, CT 06443-3481 | 2007-03-20 |
| 1265557888 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 720 E Butterfield Rd, Ste 180, Lombard, IL 60148-5661 | 2007-03-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Cranial Technologies Inc. | 2626 Glenwood Avenue Suite 550, Raleigh, NC 27608 |
| Street Address |
1333 W BELMONT AVE STE 340 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-5785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909517 | Matayah Love | Prosthetic/Orthotic Supplier | 5833 W Madison St, Chicago, IL 60644-3840 | 2020-10-15 |
| 1710508239 | Vivian Danielle Williams | Prosthetic/Orthotic Supplier | 940 N Monticello Ave # 1, Chicago, IL 60651-3949 | 2020-05-06 |
| 1265053136 | Dfined Beauty LLC | Prosthetic/Orthotic Supplier | 1507 E 53rd St # 835, Chicago, IL 60615-4573 | 2020-05-02 |
| 1417515784 | Dionne Williams Group | Prosthetic/Orthotic Supplier | 6822 S Wood St, Chicago, IL 60636-3337 | 2019-06-03 |
| 1801358734 | Dionne Williams | Prosthetic/Orthotic Supplier | 1130 N Dearborn St Apt 2511, Chicago, IL 60610-2752 | 2019-04-01 |
| 1083174064 | Scheck & Siress Prosthetics, Inc | Prosthetic/Orthotic Supplier | 233 E Erie St Ste 200, Chicago, IL 60611-5938 | 2019-03-25 |
| 1366976243 | United Medical Market, Inc | Prosthetic/Orthotic Supplier | 1930 W Estes Ave, #104, Chicago, IL 60626-2363 | 2017-04-17 |
| 1124563218 | Ace Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 4315 N Lincoln Ave, Chicago, IL 60618-1711 | 2016-12-27 |
| 1174072276 | Eyepothecary | Prosthetic/Orthotic Supplier | 1726 W Chicago Ave, Chicago, IL 60622-5000 | 2016-09-30 |
| 1932652567 | Md Orthotic & Prosthetic Laboratory, Inc. | Prosthetic/Orthotic Supplier | 1514 E 87th St Lowr Level, Chicago, IL 60619 | 2016-08-01 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.