JORDAN BOBOLTZ OTR, ATP
NPI 1477288314
Technician, Other in Dallas, TX

Active since July 22, 2022
1221 PROFIT DR, DALLAS, TX 75247(469) 404-1113 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordan Boboltz Otr, Atp NPPES

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

JORDAN BOBOLTZ OTR, ATP (NPI 1477288314) is an individual technician, other provider in Dallas, Texas and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1477288314
Entity TypeIndividualFemale
Primary Taxonomy247200000X
Provider Legal NameJORDAN BOBOLTZCredential: OTR, ATP
Location Address1221 PROFIT DRDallas, TX 75247-3919
Mailing Address1221 Profit DrDallas, TX 75247-3919
Sole ProprietorNo
Enumeration DateJuly 22, 2022
NPPES CertifiedJuly 22, 2022
NPI 1477288314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
1221 PROFIT DR, Dallas, TX 75247

Other Providers at the Same Location NPPES 12

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

Technician, Other
1221 PROFIT DR
DALLAS, TX 75247
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1221 PROFIT DR
DALLAS, TX 75247
Technician, Other
1221 PROFIT DR
DALLAS, TX 75247
Technician, Other
1221 PROFIT DR
DALLAS, TX 75247
Technician, Other
1221 PROFIT DR
DALLAS, TX 75247
Technician, Other
1221 PROFIT DR
DALLAS, TX 75247
Technician, Other
1221 PROFIT DR
DALLAS, TX 75247
Technician, Other
1221 PROFIT DR
DALLAS, TX 75247

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 Jordan Boboltz's NPI number?

The NPI number for Jordan Boboltz is 1477288314. It was assigned to this individual provider in the NPPES registry on July 22, 2022.

Where is Jordan Boboltz located?

Jordan Boboltz practices at 1221 Profit Dr, Dallas, TX 75247. The listed phone number is (469) 404-1113.

What is Jordan Boboltz's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Jordan Boboltz was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.