CRANIAL TECHNOLOGIES, INC. (NPI# 1740723907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740723907 |
| Entity Type | Organization |
| Organization Name | CRANIAL TECHNOLOGIES, INC. |
| Practice Address |
1500 S Dobson Rd Suite 315 Mesa AZ 85202-4713 |
| Mailing Address |
1395 W Auto Dr Tempe AZ 85284-1026 |
| Practice Telephone | 8444475894 |
| Practice Fax Number | 8444475895 |
| Mailing Telephone | 8444475894 |
| Mailing Fax Number | 8444475895 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |
| Authorized Official Name | TAMMY JONES (NATIONAL FACILITY DIRECTOR) |
| 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 |
|---|---|---|---|---|
| 1821696592 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 3031 W March Ln Ste 216w, Stockton, CA 95219-6500 | 2020-10-14 |
| 1871191643 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 2020 W State Highway 114 Ste 360, Grapevine, TX 76051-8649 | 2020-10-14 |
| 1427656727 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 755 S New Ballas Rd Ste 140, Saint Louis, MO 63141-8713 | 2020-10-09 |
| 1407468416 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 488 E Valley Pkwy Ste 207, Escondido, CA 92025-3368 | 2020-08-20 |
| 1740812387 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 1040 Elm Ave Ste 304, Long Beach, CA 90813-3267 | 2020-02-11 |
| 1477185015 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 1810 Chapel Ave W Ste 100, Cherry Hill, NJ 08002-4606 | 2020-02-11 |
| 1295367837 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 1300 Riverplace Blvd Ste 100, Jacksonville, FL 32207-1815 | 2020-02-11 |
| 1376183848 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 30 E River Park Pl W Ste 280, Fresno, CA 93720-1547 | 2020-01-13 |
| 1114567765 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 515 South Dr Ste 23, Mountain View, CA 94040-4209 | 2020-01-12 |
| 1972147916 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 2825 J St Ste 325, Sacramento, CA 95816-4300 | 2019-11-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | CRANIAL TECHNOLOGIES, INC. | 1395 W Auto Dr., Tempe, AZ 85284 |
| Connecticut Business Registrations | CRANIAL TECHNOLOGIES, INC. | 1395 W. Auto Drive, Tempe, AZ 85284 |
| Street Address |
1500 S DOBSON RD SUITE 315 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-4713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720057466 | Consultants In Urology, Ltd | Urology | 1500 S Dobson Rd, Suite 315, Mesa, AZ 85202-4713 | 2006-03-15 |
| 1801359005 | Kathleen Juarez | Registered Nurse | 1500 S Dobson Rd, Mesa, AZ 85202-4713 | 2019-04-13 |
| 1265833834 | Trent R Tipton | Physician Assistant | 1500 S Dobson Rd, Mesa, AZ 85202-4713 | 2014-09-15 |
| 1265757637 | Dale L Payne, Mdpc | Surgery | 1500 S Dobson Rd, Mesa, AZ 85202-4713 | 2010-03-29 |
| 1265767917 | Weigh Better Plc | Surgery | 1500 S Dobson Rd, Suite 312, Mesa, AZ 85202-4713 | 2009-10-14 |
| 1124273032 | Center for Colon and Rectal Diseases Plc | Specialist | 1500 S Dobson Rd, Suite 313, Mesa, AZ 85202-4713 | 2008-11-19 |
| 1235391657 | Maranatha Anesthesia, Pllc | Anesthesiology | 1500 S Dobson Rd, Suite 203, Mesa, AZ 85202-4713 | 2008-06-26 |
| 1215124284 | Joel D Pavelonis Md PC | Anesthesiology | 1500 S Dobson Rd, Ste 203, Mesa, AZ 85202-4724 | 2007-10-03 |
| 1528258118 | Acacia Anesthesia, Pllc | Anesthesiology | 1500 S Dobson Rd, Suite 203, Mesa, AZ 85202-4713 | 2007-07-30 |
| 1982725982 | Demetri N. Panayi, M.d., P.C. | Specialist | 1500 S Dobson Rd, Suite 203, Mesa, AZ 85202-4713 | 2007-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| 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 |
|---|---|---|---|---|
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1821090390 | Djlw Health Services Inc. | Prosthetic/Orthotic Supplier | 5432 E Southern Ave, #106, Mesa, AZ 85206-2772 | 2005-08-12 |
| 1710445481 | Center for Orthopedic Research and Education LLC | Prosthetic/Orthotic Supplier | 1500 S Dobson Rd Ste 202, Mesa, AZ 85202-4724 | 2019-03-12 |
| 1558717447 | Center for Orthopedic Research and Education, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd, Suite A302, Mesa, AZ 85202-4712 | 2016-05-10 |
| 1881919967 | Southwestern Eye Center Ltd | Prosthetic/Orthotic Supplier | 1055 S Stapley Dr, Mesa, AZ 85204-5013 | 2010-04-01 |
| 1205022407 | Nassan and Associates | Prosthetic/Orthotic Supplier | 6344 E Broadway Rd, Suite 103, Mesa, AZ 85206-1634 | 2007-09-20 |
| 1174660435 | Banner Desert Medical Center | Prosthetic/Orthotic Supplier | 1400 S Dobson Rd, Oncology Gift Shop, Room 1053, Mesa, AZ 85202-4707 | 2007-01-30 |
| 1366521049 | O&p Research Lab, Inc. | Prosthetic/Orthotic Supplier | 6343 E Main St, Suite B1, Mesa, AZ 85205-8954 | 2006-11-03 |
| 1396702718 | Artificial Limb Specialists LLC | Prosthetic/Orthotic Supplier | 2058 S Dobson Rd, Suite 17, Mesa, AZ 85202-6454 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916217 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 633 E Ray Rd Ste 111, Gilbert, AZ 85296-4202 | 2020-06-11 |
| 1285258996 | Mobility Prosthetic and Orthotic Services LLC | Prosthetic/Orthotic Supplier | 1921 Motor Ave Ste B, Kingman, AZ 86401-4185 | 2020-05-29 |
| 1083254528 | Active Life Orthotics and Prosthetics Corp | Prosthetic/Orthotic Supplier | 3811 E Bell Rd Ste 112, Phoenix, AZ 85032-2158 | 2020-01-13 |
| 1487291688 | Nevada Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1863 Airfied Avenue, Kingman, AZ 86401-4004 | 2019-12-06 |
| 1841857596 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 7330 N 99th Ave Ste 225, Glendale, AZ 85307-3003 | 2019-05-28 |
| 1992362370 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 6373 E Tanque Verde Rd Ste 140, Tucson, AZ 85715-3835 | 2019-05-21 |
| 1629539275 | Capitol Orthopedic Inc | Prosthetic/Orthotic Supplier | 4001 N 3rd St Ste 405, Phoenix, AZ 85012-2065 | 2019-03-27 |
| 1184133191 | Lumin Enterprises | Prosthetic/Orthotic Supplier | 15207 N 75th St Ste 111, Scottsdale, AZ 85260-2445 | 2017-09-21 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1548787930 | Limb Center LLC | Prosthetic/Orthotic Supplier | 3020 N 44th St, Phoenix, AZ 85018-7206 | 2017-08-25 |
| Find all providers with the same taxonomy | ||||
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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.