JACKSON ISAIAH CRUTCH
NPI 1962012138
Contractor in Dallas, TX

Q: What is Jackson Crutch's NPI number?

The NPI number for Jackson Crutch is 1962012138. It was assigned to this individual provider in the NPPES registry on August 3, 2020.

Q: What is Jackson Crutch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jackson Crutch was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 03, 2020

8500 N STEMMONS FWY STE 3052, DALLAS, TX 75247(256) 665-1604 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jackson Isaiah Crutch NPPES

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

JACKSON ISAIAH CRUTCH (NPI 1962012138) is an individual contractor provider in Dallas, Texas and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1962012138

Entity TypeIndividualMale

Primary Taxonomy171W00000X

Provider Legal NameJACKSON ISAIAH CRUTCH

Location Address8500 N STEMMONS FWY STE 3052Dallas, TX 75247-3969

Mailing Address1845 E Northgate Dr # 245Irving, TX 75062-9991 · (256) 665-1604

Phone(256) 665-1604

Sole ProprietorYes

Enumeration DateAugust 3, 2020

NPPES CertifiedAugust 3, 2020

✔ NPI 1962012138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyContractorOther Service Providers

Taxonomy Code171W00000X

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.

8500 N STEMMONS FWY STE 3052, Dallas, TX 75247

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 9

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

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