SAMOUT KETTAVONG CCC-SLP
NPI 1962982017
Speech-Language Pathologist in Dallas, TX
NPI Status: Active since August 17, 2018
Contact Information
3230 REMOND DR
DALLAS, TX
ZIP 75211
Phone: (214) 743-1200
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Female
- Speech-Language Pathologist
- Accepts Insurance
About SAMOUT KETTAVONG
This page provides the complete NPI Profile along with additional information for Samout Kettavong, a provider established in Dallas, Texas with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1962982017 assigned on August 2018. The practitioner's primary taxonomy code is 235Z00000X with license number 114529 (TX). The provider is registered as an individual and her NPI record was last updated May 2026.
- NPI
- 1962982017
- Provider Name
- SAMOUT KETTAVONG CCC-SLP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3230 REMOND DR DALLAS, TX 75211
- Location Phone
- (214) 743-1200
- Mailing Address
- 1881 SYLVAN AVE STE 150 DALLAS, TX 75208
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-17-2018
- Last Update Date
- 05-11-2026
- Code Navigator
Location Map
Secondary Locations
- 1881 Sylvan Ave Ste 100
Dallas, TX 75208
(214) 333-7041 - 1881 Sylvan Ave Ste 150
Dallas, TX 75208
(214) 743-1200
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Speech-Language Pathologist
- Taxonomy Code
- 235Z00000X
- Type
- Speech, Language and Hearing Service Providers
- License No.
- 114529
- License State
- TX
- Taxonomy Description
- The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- MyBlue Health Bronze? 402 - HMO
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Core 1640 Plus with Adult Vision - HMO
- Molina Gold Saver 750 - HMO
- Molina Gold Saver 750 Plus with Adult Dental and Vision - HMO
- Molina Gold Saver 750 Plus with Adult Vision - HMO
- Molina Gold Standard - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
- Molina Silver Saver with Four Free PCP Visits - HMO
- Molina Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1962982017, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
DALLAS, TX 75211
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962982017, enumerated as an "individual" on August 17, 2018.
The provider is located at 3230 REMOND DR DALLAS, TX 75211 and the phone number is (214) 743-1200.
Speech-Language Pathologist with taxonomy code 235Z00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and Molina. Please consult your insurance carrier or call the provider to verify.
