DR. LARA CARLSON SACKHEIM DMD
NPI 1508097023
Dentist in Pensacola, FL

Active since July 31, 2009PECOS Enrolled
4627 N DAVIS HWY, BLDG B, PENSACOLA, FL 32503(850) 476-2602 Get Directions Write a Review

NPPES record last updated: April 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lara Carlson Sackheim Dmd NPPES

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

DR. LARA CARLSON SACKHEIM DMD (NPI 1508097023) is an individual dentist in Pensacola, Florida, licensed in Florida (DN18679) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508097023
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. LARA CARLSON SACKHEIMCredential: DMD
Location Address4627 N DAVIS HWY, BLDG BPensacola, FL 32503-2364
Mailing Address6031 Chapman CirPensacola, FL 32504-7950 · (850) 377-9764
Sole ProprietorNo
Enumeration DateJuly 31, 2009
Last NPPES UpdateApril 21, 2015
NPI 1508097023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in FL · DN18679
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4627 N DAVIS HWY, Pensacola, FL 32503

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. Lara Carlson Sackheim 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 32503 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 4

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

Dentist (Periodontics)
4627 N DAVIS HWY, BUILDING A
PENSACOLA, FL 32503
Dentist (General Practice)
4627 N DAVIS HWY, BUILDING B
PENSACOLA, FL 32503
Dentist (General Practice)
4627 N DAVIS HWY, BUILDING A
PENSACOLA, FL 32503
Dentist (General Practice)
4627 N DAVIS HWY, BUILDING B
PENSACOLA, FL 32503

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 Lara Sackheim's NPI number?

The NPI number for Lara Sackheim is 1508097023. It was assigned to this individual provider in the NPPES registry on July 31, 2009.

Where is Lara Sackheim located?

Lara Sackheim practices at 4627 N Davis Hwy Bldg B, Pensacola, FL 32503. The listed phone number is (850) 476-2602.

What is Lara Sackheim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Lara Sackheim enrolled in Medicare?

Yes. Lara Sackheim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lara Sackheim was last updated on April 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.