Kevin A Jasinski, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

SC3114 Issued in SC

Practice address

103 East Tatum Avenue
McColl, SC 29570-2323

Phone

(843) 523-5291

Fax

(843) 523-9714

NPI assigned

Dec 15, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Palmetto Dental Health Associates PA

  • Dentist
  • McColl, SC
  • NPI 1821077751
  NPD (past) Authorized official
• K. Jasinski, D.M.D., P.C.

  dba Fuquay Family Dentistry

  • General Practice Dentistry
  • Fuquay Varina, NC
  • NPI 1154966216
  NPD (past)

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1982680609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 EAST TATUM AVENUE",
            "city": "MCCOLL",
            "state": "SC",
            "postal_code": "295702323",
            "telephone_number": "843-523-5291",
            "fax_number": "843-523-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 EAST TATUM AVENUE",
            "city": "MCCOLL",
            "state": "SC",
            "postal_code": "295702323",
            "telephone_number": "843-523-5291",
            "fax_number": "843-523-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASINSKI",
        "first_name": "KEVIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "SC3114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231145",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Anne Gutknecht Sams, DMD
• Joanishia Daniela Harrington
• Hayes Farming Transportation & Utilities LLC (Quie The Bee Expedite Services)
• Helping Hands Home Care LLC
• Tabitha Gail Hennagan, LPC
• Earline Little, NURSE PRACTITIONER
• Sylvia McKoy Watts, NP
• George Moore
• Courtney Chavis Odom, FNP-C
• Palmetto Dental Health Associates PA

• Dentist in McColl, SC
• Providers in McColl, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.