Toddy Jack, CEO
Toddy Jack is a Contractor provider (Contractor) practicing in Arlington, TX, registered in the NPPES registry with NPI 1831493063 since 2011.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1831493063 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Toddy Jack |
| Credential | CEO |
| Sex | Male |
| Practice address | 801 ROAD TO SIXFLAGS STREET, 144, Arlington, TX, 76012 |
| Phone | 8174610034 |
| Fax | 8174610035 |
| Enumeration date | 2011-01-03 |
| Last updated in NPPES | 2011-01-03 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 163WX0200X | Oncology Registered Nurse | Secondary | 4765290876 | TX |
| 171W00000X | Contractor | Primary | 345782195 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6787445908 | Other | TX | MULTIPLE LICENCE |
Copy-ready billing details
Provider: Toddy Jack, CEO NPI: 1831493063 Taxonomy: 171W00000X (Contractor) Address: 801 ROAD TO SIXFLAGS STREET, 144, Arlington, TX, 76012
Verify this record
Cross-check NPI 1831493063 against the authoritative CMS record: view Toddy Jack on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-01-03.