MICHELLE LOURDES JACOMINO DMD
NPI 1265161269
Dentist - Pediatric Dentistry in Charleston, SC

Active since June 07, 2022PECOS Enrolled
29 BEE ST, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle Lourdes Jacomino Dmd NPPES

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

MICHELLE LOURDES JACOMINO DMD (NPI 1265161269) is an individual pediatric dentistry provider in Charleston, South Carolina, licensed in Florida (26955) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265161269
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameMICHELLE LOURDES JACOMINOCredential: DMD
Location Address29 BEE STCharleston, SC 29425-0001
Mailing Address255 Galen Dr Apt 3kKey Biscayne, FL 33149-1957 · (305) 979-0603
Sole ProprietorYes
Enumeration DateJune 7, 2022
NPPES CertifiedJune 7, 2022
NPI 1265161269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in FL · 26955
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.
29 BEE ST, Charleston, SC 29425

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michelle Lourdes Jacomino 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 14

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

Dentist (Pediatric Dentistry)
29 BEE ST
CHARLESTON, SC 29425
Dentist (Endodontics)
29 BEE ST
CHARLESTON, SC 29425
Dentist (Pediatric Dentistry)
29 BEE ST
CHARLESTON, SC 29425
Student in an Organized Health Care Education/Training Program
29 BEE ST
CHARLESTON, SC 29425
Dentist
29 BEE ST, MUSC AEGD PROGRAM
CHARLESTON, SC 29425
Dentist (General Practice)
29 BEE ST
CHARLESTON, SC 29425
Dentist (General Practice)
29 BEE ST
CHARLESTON, SC 29425
Dentist
29 BEE ST, 4TH FLOOR
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 Michelle Jacomino's NPI number?

The NPI number for Michelle Jacomino is 1265161269. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Where is Michelle Jacomino located?

Michelle Jacomino practices at 29 Bee St, Charleston, SC 29425. The listed phone number is (843) 792-1414.

What is Michelle Jacomino's specialty?

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

Is Michelle Jacomino enrolled in Medicare?

Yes. Michelle Jacomino is registered in the Medicare PECOS enrollment system.

What insurance does Michelle Jacomino accept?

Health plans from BEST Life, Dominion National, HRI Dental & Vision, Humana and Paramount and 2 other insurers list Michelle Jacomino as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michelle Jacomino was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.