DALLAS THOMPSON – NPI #1073486742
Peer Specialist

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.

DALLAS THOMPSON is a peer specialist located in TAHLEQUAH, OK. NPPES has assigned the NPI number 1073486742 to DALLAS THOMPSON on September 27, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 175T00000X from the Health Care Provider Taxonomy code set, which is classified as Peer Specialist.

See the complete NPI profile for DALLAS THOMPSON below.

NPI Profile for
DALLAS THOMPSON

NPI Number
1073486742
Enumeration Date

(about 8 months ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DALLAS THOMPSON
Primary location
1007 S. MUSKOGEE ST.
TAHLEQUAH, OK 74464
Phone: (417) 635-4304 Fax:
Mailing address
710 EAST CHERRIE
TAHLEQUAH, OK 74464
Phone: (539) 297-8902 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Sep 27, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
175T00000X
- Peer Specialist (Primary)
OK

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.