Active NPI
David Marcello Bentine
- Speech-Language Pathologist
- Silver Spring, MD
National Provider Identifier
1669855706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 07819
- Practice address
- 1420 Spring St
Silver Spring, MD 20910-2701 - Phone
- (410) 889-0727
- Fax
- (410) 889-0729
- NPI assigned
- Jul 7, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 07819 | MD | Primary |
Addresses
Primary practice location
1420 Spring St
Silver Spring, MD 20910-2701
Mailing address
416 E 30TH St
Baltimore, MD 21218-3934
Phone (410) 889-0727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436227200000",
"number": "1669855706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 E 30TH ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212183934",
"telephone_number": "410-889-0727",
"fax_number": "410-889-0729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 SPRING ST",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209102701",
"telephone_number": "410-889-0727",
"fax_number": "410-889-0729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTINE",
"first_name": "DAVID",
"middle_name": "MARCELLO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-07",
"last_updated": "2015-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "07819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.