NPI age
2 years
Enumerated 2023-11-27
● Active
Type 1 · Individual
Kentoria Tatum
Tatum is 1 of 49 prosthetic/orthotic supplier providers in Dallas and 1 of 741 in Texas.
Primary specialty
Prosthetic/Orthotic Supplier
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-11-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 741 active prosthetic/orthotic supplier providers in Texas.
NPI age
2 years
↓ 11 yr below median (13 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
28% of peers hold subspecialties
NPI lifetime · 2023 → 2026
2023-11Enumerated in NPPES
2023
2026
Where they practice
Practice location
4245 N Central Expy Ste 490
Dallas, TX 752054231
Mailing address
4245 N Central Expy Ste 490
Dallas, TX 752054231
Specialties
-
Prosthetic/Orthotic Supplier PrimaryAn organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring...
Practice context
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.