1. Home
  2. Directory
  3. North Carolina
  4. Durham
  5. Peer Specialist
  6. NPI Profile

DEZRICK OMONT DIXON
NPI 1043002470
Peer Specialist in Durham, NC

Active since May 21, 2025
112 BROADWAY ST, DURHAM, NC 27701(919) 949-3330 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dezrick Omont Dixon NPPES

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

DEZRICK OMONT DIXON (NPI 1043002470) is an individual peer specialist in Durham, North Carolina, licensed in North Carolina (2025-13014-01) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1043002470
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameDEZRICK OMONT DIXON
Location Address112 BROADWAY STDurham, NC 27701-2402
Mailing Address4207 Oran Ave Apt BDurham, NC 27704-8032 · (919) 949-3330
Phone(919) 949-3330
Sole ProprietorYes
Enumeration DateMay 21, 2025
NPPES CertifiedMay 21, 2025
✔ NPI 1043002470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in NC · 2025-13014-01
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
112 BROADWAY ST, Durham, NC 27701
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

NEW HORIZONS CARE SERVICES, LLC
Community/Behavioral Health
112 BROADWAY ST
DURHAM, NC 27701
Durham County (919) 638-5963
TRIANGLE EMPOWERMENT CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
112 BROADWAY ST
DURHAM, NC 27701
Durham County (919) 717-6922
A DIFFERENT WAY BEHAVIORAL AND LEARNING SOLUTIONS
Behavior Analyst
112 BROADWAY ST
DURHAM, NC 27701
Durham County (301) 536-2933

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 Dezrick Dixon's NPI number?

The NPI number for Dezrick Dixon is 1043002470. It was assigned to this individual provider in the NPPES registry on May 21, 2025.

Where is Dezrick Dixon located?

Dezrick Dixon practices at 112 Broadway St, Durham, NC 27701. The listed phone number is (919) 949-3330.

What is Dezrick Dixon's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Dezrick Dixon was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.