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CLT CUSTOM CRANIAL PROSTHESIS
NPI 1891621587
Prosthetic/Orthotic Supplier in Charlotte, NC

Active since June 20, 2026
3709 EASTWAY DR, CHARLOTTE, NC 28205(704) 996-7818(980) 430-3075 Get Directions Write a Review

NPPES record last updated: June 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clt Custom Cranial Prosthesis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLT CUSTOM CRANIAL PROSTHESIS (NPI 1891621587) is a healthcare organization registered as a prosthetic/orthotic supplier in Charlotte, North Carolina and active in the NPI registry since June 2026. The organization lists Paula Gray, Ceo, as its authorized official.

NPPES Registry Identity

NPI1891621587
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameCLT CUSTOM CRANIAL PROSTHESIS
Location Address3709 EASTWAY DRCharlotte, NC 28205-6266
Mailing Address3709 Eastway DrCharlotte, NC 28205-6266 · (704) 996-7818 · Fax (980) 430-3075
Phone(704) 996-7818
Fax(980) 430-3075
Organization SubpartNo
Authorized OfficialPaula GrayCeo · (704) 996-7818
Enumeration DateJune 20, 2026
NPPES CertifiedJune 20, 2026
✔ NPI 1891621587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
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.
3709 EASTWAY DR, Charlotte, NC 28205
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAULA GRAY
Prosthetic/Orthotic Supplier
3709 EASTWAY DR
CHARLOTTE, NC 28205
Mecklenburg County (704) 996-7818
BLESSED TRINITY SUPPORT SERVICES IN
In Home Supportive Care
3709 EASTWAY DR
CHARLOTTE, NC 28205
Mecklenburg County (704) 605-2195

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clt Custom Cranial Prosthesis's NPI number?

The NPI number for Clt Custom Cranial Prosthesis is 1891621587. It was assigned to this organization in the NPPES registry on June 20, 2026.

Where is Clt Custom Cranial Prosthesis located?

Clt Custom Cranial Prosthesis is located at 3709 Eastway Dr, Charlotte, NC 28205. The listed phone number is (704) 996-7818.

What is Clt Custom Cranial Prosthesis's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Clt Custom Cranial Prosthesis was last updated on June 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.