DALLAS THOMPSON
NPI 1073486742
Peer Specialist in Tahlequah, OK

Active since September 27, 2025
1007 S. MUSKOGEE ST., TAHLEQUAH, OK 74464(417) 635-4304 Get Directions Write a Review

NPPES record last updated: September 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dallas Thompson NPPES

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

DALLAS THOMPSON (NPI 1073486742) is an individual peer specialist in Tahlequah, Oklahoma and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1073486742
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameDALLAS THOMPSON
Location Address1007 S. MUSKOGEE ST.Tahlequah, OK 74464
Mailing Address710 East CherrieTahlequah, OK 74464 · (539) 297-8902
Sole ProprietorYes
Enumeration DateSeptember 27, 2025
NPPES CertifiedSeptember 27, 2025
NPI 1073486742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
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.
1007 S. MUSKOGEE ST., Tahlequah, OK 74464

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Dallas Thompson's NPI number?

The NPI number for Dallas Thompson is 1073486742. It was assigned to this individual provider in the NPPES registry on September 27, 2025.

Where is Dallas Thompson located?

Dallas Thompson practices at 1007 S. Muskogee St., Tahlequah, OK 74464. The listed phone number is (417) 635-4304.

What is Dallas Thompson'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 Dallas Thompson was last updated on September 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.