Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538822689 Individual Practitioner Male Practitioner

Tonsel Jack

Pedorthist • Arlington, TX

Professional Overview & Biography Verified Profile Summary

Tonsel Jack is a registered healthcare professional specializing in Pedorthist in Arlington, TX. Practice services are available at 1301 E BARDIN RD UNIT 181801 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1301 E Bardin Rd Unit 181801

Arlington, TX 760964272

Telephone 8664884546
Fax 1782106624

Specialty Benchmarks & Practice Insights

Comparative analytics for Pedorthist in Arlington, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Arlington, TX (23 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-04
Pedorthist Primary Specialty

NUCC Taxonomy Code: 224L00000X

An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pedorthist
871002728 (TX)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 31, 2023

Registered at 1301 E BARDIN RD UNIT 181801, ARLINGTON, TX 760964272 (Tel: 8664884546)

📍
Updated Business Mailing Address July 31, 2023

Registered at 1301 E BARDIN RD UNIT 181801, ARLINGTON, TX 760964272 (Tel: 8664884546)

NPI Profile Active October 15, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 15, 2021

Registered at 2825 N STATE HIGHWAY 360 APT 1530, GRAND PRAIRIE, TX 750507866 (Tel: 8175729663)

📍
Updated Business Mailing Address October 15, 2021

Registered at 1861 BROWN BLVD, 217641, ARLINGTON, TX 76006 (Tel: 8177529663)

👤
Provider Name / Credentials Updated October 15, 2021

Recorded as TONSEL JACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2021

Pedorthist

🟢
Initial NPI Registration & Enumeration October 15, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538822689
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2021
Last Update: August 04, 2025
Sole Proprietor: Yes

Mailing Address

1301 E Bardin Rd Unit 181801

Arlington, TX 760964272

Phone: 8664884546

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.