Organization Active NPI

Dahlonegah School

  • Speech-Language Pathologist
  • Stilwell, OK
National Provider Identifier
1083807598
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
DAHLONEGAH SCHOOL
Practice address
RR 1 Box 1795
Stilwell, OK 74960-9760
Phone
(918) 696-7807
Fax
(918) 696-2192
NPI assigned
Aug 20, 2007
Last updated
Aug 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jeff Limore
Title
Superintendent
Phone
(918) 696-7807

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NU
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

RR 1 Box 1795
Stilwell, OK 74960-9760

Mailing address

RR 1 Box 1795
Stilwell, OK 74960-9760
Phone (918) 696-7807

National Provider Directory

National Provider Directory

Locations

468739 E 878 Rd
Stilwell, OK 74960
Phone (918) 696-7807

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1083807598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 1795",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749609760",
            "telephone_number": "918-696-7807",
            "fax_number": "918-696-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 1795",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749609760",
            "telephone_number": "918-696-7807",
            "fax_number": "918-696-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAHLONEGAH SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "LIMORE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "918-696-7807",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stilwell, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.