Individual provider Active NPI

Robert Dahlka

  • Peer Specialist
  • Broken Arrow, OK
National Provider Identifier
1487567319
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
4801 S Elm PL Apt 1937
Broken Arrow, OK 74011-4886
Phone
(530) 401-6238
NPI assigned
Sep 23, 2026
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Primary

Addresses

Primary practice location

4801 S Elm PL Apt 1937
Broken Arrow, OK 74011-4886

Mailing address

4801 S Elm PL Apt 1937
Broken Arrow, OK 74011-4886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1487567319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S ELM PL APT 1937",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740114886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S ELM PL APT 1937",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740114886",
            "telephone_number": "530-401-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLKA",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.