JASDEEP SINGH GURAM DMD
NPI 1114587987
Dentist - Pediatric Dentistry in Charleston, SC

Active since June 14, 2019PECOS Enrolled
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425(843) 792-9301 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2021, Jun 14, 2019 (2 updates tracked since 2019).

About Jasdeep Singh Guram Dmd NPPES

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

JASDEEP SINGH GURAM DMD (NPI 1114587987) is an individual pediatric dentistry provider in Charleston, South Carolina, licensed in South Carolina (9780) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114587987
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameJASDEEP SINGH GURAMCredential: DMD
Location Address169 ASHLEY AVE RM 202Charleston, SC 29425-8905
Mailing Address169 Ashley Ave Rm 202Charleston, SC 29425-8905
Sole ProprietorYes
Enumeration DateJune 14, 2019
Last NPPES UpdateMarch 31, 20212 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
NPI 1114587987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in SC · 9780
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License DN24113 (FL)
169 ASHLEY AVE RM 202, Charleston, SC 29425

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jasdeep Singh Guram Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Surgery
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Pediatrics
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Surgery
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Radiology (Diagnostic Radiology)
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Anesthesiology
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Surgery
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Internal Medicine
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Internal Medicine (Clinical Cardiac Electrophysiology)
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425

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 Jasdeep Guram's NPI number?

The NPI number for Jasdeep Guram is 1114587987. It was assigned to this individual provider in the NPPES registry on June 14, 2019.

Where is Jasdeep Guram located?

Jasdeep Guram practices at 169 Ashley Ave Rm 202, Charleston, SC 29425. The listed phone number is (843) 792-9301.

What is Jasdeep Guram's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Jasdeep Guram enrolled in Medicare?

Yes. Jasdeep Guram is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jasdeep Guram was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.