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OCTAVIA BENTUM
NPI 1104528199
Specialist/Technologist - Speech-Language Assistant in Dallas, TX

Active since March 21, 2023
12225 GREENVILLE AVE # 600, DALLAS, TX 75243(888) 265-1068 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2023, Mar 21, 2023 (2 updates tracked since 2023).

About Octavia Bentum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OCTAVIA BENTUM (NPI 1104528199) is an individual speech-language assistant in Dallas, Texas, licensed in Texas (43535) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1104528199
Entity TypeIndividualFemale
Primary Taxonomy2355S0801X
Provider Legal NameOCTAVIA BENTUM
Location Address12225 GREENVILLE AVE # 600Dallas, TX 75243-9362
Mailing Address12225 Greenville Ave # 600Dallas, TX 75243-9362
Phone(888) 265-1068
Sole ProprietorNo
Enumeration DateMarch 21, 2023
Last NPPES UpdateOctober 17, 20232 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
✔ NPI 1104528199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers
Taxonomy Code2355S0801X
Licenses✔ Licensed in TX · 43535✔ Licensed in CA · 7772
12225 GREENVILLE AVE # 600, Dallas, TX 75243
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNA DAWN GRANTZ M.S. CCC-SLP
Speech-Language Pathologist
12225 GREENVILLE AVE # 600
DALLAS, TX 75243
Dallas County (866) 575-9820
TRACY EDENSON BOREJDO MS, CCC-SLP
Speech-Language Pathologist
12225 GREENVILLE AVE # 600
DALLAS, TX 75243
Dallas County (866) 575-9820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Octavia Bentum's NPI number?

The NPI number for Octavia Bentum is 1104528199. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Octavia Bentum located?

Octavia Bentum practices at 12225 Greenville Ave # 600, Dallas, TX 75243. The listed phone number is (888) 265-1068.

What is Octavia Bentum's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

When was this NPI record last updated?

The NPPES record for Octavia Bentum was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.