DR. JEFFREY J LARO DMD, MHS
NPI 1134472426
Dentist - Periodontics in Charleston, SC

Active since October 24, 2012Opted out of Medicare · through May 20, 2027
2090 CHARLIE HALL BLVD, SUITE 100, CHARLESTON, SC 29414(843) 766-7131(843) 766-1839 Get Directions Write a Review

NPPES record last updated: October 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jeffrey J Laro Dmd, Mhs NPPES

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

DR. JEFFREY J LARO DMD, MHS (NPI 1134472426) is an individual periodontics provider in Charleston, South Carolina, licensed in South Carolina (3171) and active in the NPI registry since October 2012. He has opted out of Medicare through May 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1134472426
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. JEFFREY J LAROCredential: DMD, MHS
Location Address2090 CHARLIE HALL BLVD, SUITE 100Charleston, SC 29414-8200
Mailing Address2090 Charlie Hall Blvd, Suite 100Charleston, SC 29414-8200 · (843) 766-7131 · Fax (843) 766-1839
Fax(843) 766-1839
Sole ProprietorYes
Enumeration DateOctober 24, 2012
NPI 1134472426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in SC · 3171
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2090 CHARLIE HALL BLVD, Charleston, SC 29414

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Jeffrey J Laro Dmd, Mhs has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 20, 2019 through May 20, 2027.

Opt-Out Effective DateMay 20, 2019
Opt-Out In Effect ThroughMay 20, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29414 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

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

Dentist (Periodontics)
2090 CHARLIE HALL BLVD, SUITE 100
CHARLESTON, SC 29414

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 Jeffrey Laro's NPI number?

The NPI number for Jeffrey Laro is 1134472426. It was assigned to this individual provider in the NPPES registry on October 24, 2012.

Where is Jeffrey Laro located?

Jeffrey Laro practices at 2090 Charlie Hall Blvd Suite 100, Charleston, SC 29414. The listed phone number is (843) 766-7131.

What is Jeffrey Laro's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Jeffrey Laro enrolled in Medicare?

No. Jeffrey Laro has opted out of Medicare through May 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jeffrey Laro was last updated on October 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.