Organization Active NPI

Jas Guram, DMD, LLC

  • Pediatric Dentistry
  • Rock Hill, SC
National Provider Identifier
1144049354
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
JAS GURAM, DMD, LLC
Practice address
1562 Constitution Blvd Ste 102
Rock Hill, SC 29732-3540
Phone
(803) 328-8865
NPI assigned
Oct 4, 2024
Last updated
Oct 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jasdeep Singh Guram, DMDNPI 1114587987
Title
Pediatric Dentist
Phone
(803) 760-9947

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

1562 Constitution Blvd Ste 102
Rock Hill, SC 29732-3540

Mailing address

5160 Longbrooke CT
Indian Land, SC 29707-8738

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1144049354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 LONGBROOKE CT",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297078738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 CONSTITUTION BLVD STE 102",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323540",
            "telephone_number": "803-328-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAS GURAM, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "GURAM",
        "authorized_official_first_name": "JASDEEP",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "803-760-9947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.