TODDY JACK CEO NPI 1831493063

NPI Information

  • NPI: 1831493063
  • Provider Name: TODDY JACK, CEO
  • Classification: Contractor - 171W00000X
  • Entity Type: Individual
  • Address: 801 ROAD TO SIXFLAGS STREET
    144
    ARLINGTON, TX
    ZIP 76012
  • Phone: (817) 461-0034

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NPI Details

Toddy Jack, CEO is a contractor in Arlington, TX. The provider is for the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status. Toddy Jack, CEO NPI is 1831493063. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

801 ROAD TO SIXFLAGS STREET
144
ARLINGTON, TX
ZIP 76012
Phone: (817) 461-0034
Fax: (817) 461-0035

The enumeration date for this NPI number is 1/3/2011 and was last updated on 1/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WX0200XRegistered NurseOncology4765290876TEXASNo
2171W00000XContractor345782195TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16787445908OTHERTEXASMULTIPLE LICENCE
25900005678MEDICARE NSCTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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