Dillon Whitaker

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

19320 E Admiral PL Ste B
Catoosa, OK 74015-3240

Phone

(918) 340-5503

NPI assigned

Apr 12, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1386498731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33354 E 21ST ST S",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740144919",
            "telephone_number": "918-607-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19320 E ADMIRAL PL STE B",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740153240",
            "telephone_number": "918-340-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "DILLON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP
• Phyllis Elisha Waldrup
• Walgreen Co
• Michael Blake Weir
• Whalen Therapeutic Center PLLC
• Emalee Ariel Whitaker
• Catherine Williams, P.A.-C
• Nichole Renae Williams
• Niyesha Maylene Williams
• Sandra Barnes Williams

• Peer Specialist in Catoosa, OK
• Providers in Catoosa, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.