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TODDY JACK CEO
NPI 1831493063
Contractor in Arlington, TX

Active since January 03, 2011
801 ROAD TO SIXFLAGS STREET, 144, ARLINGTON, TX 76012(817) 461-0034(817) 461-0035 Get Directions Write a Review

NPPES record last updated: January 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Toddy Jack Ceo NPPES

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

TODDY JACK CEO (NPI 1831493063) is an individual contractor provider in Arlington, Texas, licensed in Texas (345782195) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1831493063
Entity TypeIndividualMale
Primary Taxonomy171W00000X
Provider Legal NameTODDY JACKCredential: CEO
Location Address801 ROAD TO SIXFLAGS STREET, 144Arlington, TX 76012
Mailing Address801 Road To Sixflags Street, 144Arlington, TX 76012 · (817) 461-0034 · Fax (817) 461-0035
Phone(817) 461-0034
Fax(817) 461-0035
Sole ProprietorNo
Enumeration DateJanuary 3, 2011
✔ NPI 1831493063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
License✔ Licensed in TX · 345782195
Definition
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.
Also ListedRegistered Nurse · OncologyTaxonomy 163WX0200X · License 4765290876 (TX)
801 ROAD TO SIXFLAGS STREET, Arlington, TX 76012
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Other Identifiers 2

Other6787445908TX · Multiple Licence
Medicare NSC5900005678TX

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 Toddy Jack's NPI number?

The NPI number for Toddy Jack is 1831493063. It was assigned to this individual provider in the NPPES registry on January 3, 2011.

Where is Toddy Jack located?

Toddy Jack practices at 801 Road To Sixflags Street 144, Arlington, TX 76012. The listed phone number is (817) 461-0034.

What is Toddy Jack's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Toddy Jack was last updated on January 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.