Individual provider Active NPI

Sukhvinder Kaur Guram, D.M.D.

  • Pediatric Dentistry
  • Lexington, SC
National Provider Identifier
1891148698
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
978PD Issued in SC
Practice address
203 N Lake Dr
Lexington, SC 29072-2833
Phone
(803) 429-7401
NPI assigned
Jul 15, 2016
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1601 FL
General Practice Dentistry 1223G0001X 8836 SC
Pediatric Dentistry 1223P0221X 978PD SC Primary

Addresses

Primary practice location

203 N Lake Dr
Lexington, SC 29072-2833

Mailing address

260 Wood Moor PL
Columbia, SC 29212-2712
Phone (803) 429-7401

Other names 1

  • Dr. Sukhi Kaur Guram Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1601FLMDDentist
978PDSCMDPediatric Dentist
8836SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bumble Kids Pediatric Dentistry, LLC Pediatric Dentistry CurrentSince Jan 10, 2021 Accepting new patients

Locations

715 E Main St
Westfield, IN 46074
Phone (317) 792-5475

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1891148698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 WOOD MOOR PL",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122712",
            "telephone_number": "803-429-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722833",
            "telephone_number": "803-429-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURAM",
        "first_name": "SUKHVINDER",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "1601",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8836",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "978PD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUKHI",
            "last_name": "GURAM",
            "middle_name": "KAUR",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.