Johnny Dale Dority I, BHRS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

907 S Walnut St
Sallisaw, OK 74955-6841

Phone

(918) 708-6169

NPI assigned

Sep 14, 2012

Sex

Male

Sole proprietor

Yes

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, last updated by the provider on Sep 14, 2012.

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1497005755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 S WALNUT ST",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749556841",
            "telephone_number": "918-708-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 S WALNUT ST",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749556841",
            "telephone_number": "918-708-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORITY",
        "first_name": "JOHNNY",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "BHRS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destry Dobbs
• Wyatt Zane Dobbs, O.D.
• Wyman Dane Dobbs, OD
• Melodie Ann Dobson, C-CHW
• Rosario Danushka Dominic
• Ana Marie Dotson, D.D.S.
• Tammy Doty
• Dr. Steven Delia MD PLLC
• Drumright Nursing Home, LLC
• Kari Dry

• All providers in Sallisaw, OK
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.