OCTAVIA BENTUM NPI 1104528199

NPI Information

  • NPI: 1104528199
  • Provider Name: OCTAVIA BENTUM
  • Classification: Specialist/Technologist - 2355S0801X
  • Specialization: Speech-Language Assistant
  • Entity Type: Individual
  • Address: 12225 GREENVILLE AVE # 600
    DALLAS, TX
    ZIP 75243
  • Phone: (888) 265-1068

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NPI Details

Octavia Bentum is a speech-language assistant specialist technologist in Dallas, TX. Octavia Bentum NPI is 1104528199. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12225 GREENVILLE AVE # 600
DALLAS, TX
ZIP 75243-362
Phone: (888) 265-1068

The enumeration date for this NPI number is 3/21/2023 and was last updated on 10/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12355S0801XSpecialist/TechnologistSpeech-Language Assistant7772CALIFORNIANo
22355S0801XSpecialist/TechnologistSpeech-Language Assistant43535TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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