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JACOB THOMAS DODGEN
NPI 1730886904
Peer Specialist in Oklahoma City, OK

Active since February 08, 2023
2517 N WARREN AVE, OKLAHOMA CITY, OK 73107(405) 831-0357 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob Thomas Dodgen NPPES

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

JACOB THOMAS DODGEN (NPI 1730886904) is an individual peer specialist in Oklahoma City, Oklahoma and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1730886904
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJACOB THOMAS DODGEN
Location Address2517 N WARREN AVEOklahoma City, OK 73107-1052
Mailing Address2517 N Warren AveOklahoma City, OK 73107-1052 · (405) 831-0357
Phone(405) 831-0357
Sole ProprietorNo
Enumeration DateFebruary 8, 2023
NPPES CertifiedFebruary 8, 2023
✔ NPI 1730886904 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.
2517 N WARREN AVE, Oklahoma City, OK 73107
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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 Jacob Dodgen's NPI number?

The NPI number for Jacob Dodgen is 1730886904. It was assigned to this individual provider in the NPPES registry on February 8, 2023.

Where is Jacob Dodgen located?

Jacob Dodgen practices at 2517 N Warren Ave, Oklahoma City, OK 73107. The listed phone number is (405) 831-0357.

What is Jacob Dodgen'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 Jacob Dodgen was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.