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DR. ALEXANDRA GRIFFIN WILD DDS
NPI 1316515307
Dentist - Pediatric Dentistry in Charleston, SC

Active since June 15, 2021PECOS Enrolled
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425(843) 792-7365 Get Directions Write a Review

NPPES record last updated: February 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Alexandra Griffin Wild Dds NPPES

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

DR. ALEXANDRA GRIFFIN WILD DDS (NPI 1316515307) is an individual pediatric dentistry provider in Charleston, South Carolina, licensed in South Carolina (DGD.10574) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316515307
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. ALEXANDRA GRIFFIN WILDCredential: DDS
Location Address169 ASHLEY AVE RM 202Charleston, SC 29425-8905
Mailing Address1292 Aspen WayMendota Heights, MN 55118-1750 · (651) 815-5678
Phone(843) 792-7365
Sole ProprietorNo
Enumeration DateJune 15, 2021
Last NPPES UpdateFebruary 25, 2024
NPPES CertifiedFebruary 25, 2024
✔ NPI 1316515307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in SC · DGD.10574
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 D14619 (MN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
169 ASHLEY AVE RM 202, Charleston, SC 29425
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Other Names 1

Former Name (1)Dr. Alexandra Griffin Schutter Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Guardian, Humana.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)

Dr. Alexandra Griffin Wild Dds 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.

SANAA ABDELMAGEED MD
Surgery
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-4607
CARA MARIE BIRD MD
Pediatrics
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2300
KYLER PERRY DO
Surgery
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2300
SAI KIRAN GUDLA
Radiology (Diagnostic Radiology)
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2575
DR. ROBERT BOONE COLEMAN MD
Anesthesiology
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2322
ERIKA ANDRADE MD
Surgery
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 513-9773
ALEXANDRIA GATES RASCO
Internal Medicine
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2731
DR. RORY DOWD MBBS, MENG
Internal Medicine (Clinical Cardiac Electrophysiology)
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 876-4794

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 Alexandra Wild's NPI number?

The NPI number for Alexandra Wild is 1316515307. It was assigned to this individual provider in the NPPES registry on June 15, 2021. The provider is also known as Dr. Alexandra Griffin Schutter Dds.

Where is Alexandra Wild located?

Alexandra Wild practices at 169 Ashley Ave Rm 202, Charleston, SC 29425. The listed phone number is (843) 792-7365.

What is Alexandra Wild's specialty?

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

Is Alexandra Wild enrolled in Medicare?

Yes. Alexandra Wild is registered in the Medicare PECOS enrollment system.

What insurance does Alexandra Wild accept?

Health plans from Anthem Blue Cross and Blue Shield, Guardian and Humana list Alexandra Wild 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 Alexandra Wild was last updated on February 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.