Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dezrick Omont Dixon

Individual provider Peer Specialist · NPI 1043002470

Dezrick Omont Dixon is a Peer Specialist in Durham, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

112 Broadway St
Durham, NC 27701-2402
Phone: (919) 949-3330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 2025-13014-01 (NC)

Record details

NPI number1043002470
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 21, 2025
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025

Other providers in Durham