Dustin R Farris
Individual provider Active NPI Peer Specialist · Choctaw, OK
NPI 1144034323 · NPPES record last updated Feb 6, 2025
Key facts
- NPI
- 1144034323
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 1825 Cherokee TRL
Choctaw, OK 73020-8069 - Phone
- (405) 762-0351
- NPI assigned
- Feb 6, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
1825 Cherokee TRL
Choctaw, OK 73020-8069
Mailing address
1825 Cherokee TRL
Choctaw, OK 73020-8069
Phone (405) 762-0351
Other providers in Choctaw, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.