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DALLAS WAYNE PETERSON
NPI 1407724214
Case Manager/Care Coordinator in Columbus, OH

Active since October 24, 2025
2323 LAKE CLUB DR, COLUMBUS, OH 43232(614) 604-8573 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dallas Wayne Peterson NPPES

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

DALLAS WAYNE PETERSON (NPI 1407724214) is an individual case manager/care coordinator provider in Columbus, Ohio and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1407724214
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameDALLAS WAYNE PETERSON
Location Address2323 LAKE CLUB DRColumbus, OH 43232-3101
Mailing Address2323 Lake Club DrColumbus, OH 43232-3101 · (614) 604-8573
Phone(614) 604-8573
Sole ProprietorYes
Enumeration DateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
✔ NPI 1407724214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
2323 LAKE CLUB DR, Columbus, OH 43232
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Other Providers at the Same Location NPPES 20

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

ANDREW LAVENDER
Case Manager/Care Coordinator
2323 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 604-8573
EBONI DAVIS
Case Manager/Care Coordinator
2323 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 604-8573
CARRON JOHNSON
Case Manager/Care Coordinator
2323 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 604-8573
ALPHA BARRY
Case Manager/Care Coordinator
2323 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 604-8573
ALEXANDRIA MUNCIE
Case Manager/Care Coordinator
2323 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 604-8573
DRENEQ GIBSON
Case Manager/Care Coordinator
2323 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 604-8573
JOHN M GLOVER III
Case Manager/Care Coordinator
2323 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 604-8573
TAMYRA FELTS
Case Manager/Care Coordinator
2323 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 604-8573

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 Peterson's NPI number?

The NPI number for Dallas Peterson is 1407724214. It was assigned to this individual provider in the NPPES registry on October 24, 2025.

Where is Dallas Peterson located?

Dallas Peterson practices at 2323 Lake Club Dr, Columbus, OH 43232. The listed phone number is (614) 604-8573.

What is Dallas Peterson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Dallas Peterson was last updated on October 24, 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.