CRANIAL TECHNOLOGIES, INC. (NPI# 1760047583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760047583 |
| Entity Type | Organization |
| Organization Name | CRANIAL TECHNOLOGIES, INC. |
| Practice Address |
13500 Circle Dr Ste 202 Orland Park IL 60462-1343 |
| 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 | 2019-05-07 |
| Last Update Date | 2019-05-07 |
| 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 |
13500 CIRCLE DR STE 202 |
| City | ORLAND PARK |
| State | IL |
| Zip Code | 60462-1343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083257331 | Stephanie Slager | Behavioral Analyst | 8430 W 135th St., Orland Park, IL 60462 | 2019-10-18 |
| 1730652587 | Nancy Lynch | Speech-Language Pathologist | 15100 S 94th Ave Orland School District 135, Orlond Park, IL 60462 | 2019-01-04 |
| 1932681327 | Alyssa Avant | Speech-Language Pathologist | 8851 W 151st St, Orland Park, IL 60462 | 2018-08-31 |
| 1922588110 | Pain Specialists of Greater Chicago S C | Pain Medicine | 15300 West Ave Ste C213, Orland Park, IL 60462 | 2018-08-16 |
| 1689168478 | S- R&r Counseling Inc. | Counselor | 9750 Crescent Park Cir Unit 306, Orland Park, IL 60462 | 2018-06-15 |
| 1104372952 | Amy Blanks | Nurse Anesthetist, Certified Registered | 13959 95th Avenue, Orland Park, IL 60462 | 2016-08-31 |
| 1740632454 | Anna S Wang | Optometrist | 14494 John Humphrey Dr, Orland Park, IL 60462 | 2016-07-06 |
| 1750739793 | Carolyn Sluis | Pharmacist | 9352 W 159th Street, Orland Park, IL 60462 | 2016-06-01 |
| 1164882262 | Caring Hands Group Home of Il, Inc. | Community/Behavioral Health | 14475 John Humphrey Dr., Orland Park, IL 60462 | 2016-03-02 |
| 1639539760 | Frazierworks Community Care, Inc. | In Home Supportive Care | 14475 John Humphrey Dr Suite 300, Orland Park, IL 60462 | 2016-03-02 |
| Find all providers in zip 60462 | ||||
| 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 |
|---|---|---|---|---|
| 1023411303 | Bionicare Prosthetics and Orthotics, LLC | Prosthetic/Orthotic Supplier | 9501 W 144th Pl Ste 304, Orland Park, IL 60462-2564 | 2014-10-01 |
| 1942512389 | Bisi Beauty Supply, Inc. | Prosthetic/Orthotic Supplier | 9556 W 147th St, Orland Park, IL 60462-2502 | 2010-07-13 |
| 1801129788 | Optech Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 18016 Wolf Rd, Orland Park, IL 60467-5407 | 2009-09-10 |
| 1073759338 | Kingsbury Randolph LLC | Prosthetic/Orthotic Supplier | 15864 S La Grange Rd, Suite D1c, Orland Park, IL 60462-5366 | 2008-12-16 |
| 1528239605 | Perfect Fit Footwear | Prosthetic/Orthotic Supplier | 15618 S 70th Ct, Orland Park, IL 60462-5108 | 2008-03-17 |
| 1558647800 | Optech Orthotics & Prosthetics Services, Ltd | Prosthetic/Orthotic Supplier | 18016 Wolf Rd, Orland Park, IL 60467-5407 | 2011-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909517 | Matayah Love | Prosthetic/Orthotic Supplier | 5833 W Madison St, Chicago, IL 60644-3840 | 2020-10-15 |
| 1225653686 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 1290 W Northwest Hwy, Palatine, IL 60067-1897 | 2020-06-11 |
| 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 |
| 1134748767 | The Weave Luxe Bar | Prosthetic/Orthotic Supplier | 7315 Lemont Rd, Downers Grove, IL 60516-3807 | 2020-04-14 |
| 1245865245 | Ortheco LLC | Prosthetic/Orthotic Supplier | 3050 Montvale Dr Ste E, Springfield, IL 62704-4290 | 2020-03-10 |
| 1417515784 | Dionne Williams Group | Prosthetic/Orthotic Supplier | 6822 S Wood St, Chicago, IL 60636-3337 | 2019-06-03 |
| 1164080743 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 391 Quadrangle Dr Ste N4, Bolingbrook, IL 60440-3443 | 2019-05-30 |
| 1114580107 | Thomas Gavin | Prosthetic/Orthotic Supplier | 1010 Jorie Blvd Ste 24, Oak Brook, IL 60523-4450 | 2019-04-16 |
| 1205399029 | Tonee Jarrett | Prosthetic/Orthotic Supplier | 503 N Dirksen Pkwy, Springfield, IL 62702-6110 | 2019-04-09 |
| Find all providers with the same taxonomy | ||||
| City | ORLAND PARK |
| Zip Code | 60462 |
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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.