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MR. LAWRENCE EDWARD GOETTISHEIM DDS
NPI 1609945419
Dentist - Periodontics in Mt Kisco, NY

Active since November 07, 2006PECOS Enrolled
103 SOUTH BEDFORD RD, SUITE 110, MT KISCO, NY 10549(914) 241-7670(914) 241-7254 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Lawrence Edward Goettisheim Dds NPPES

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

MR. LAWRENCE EDWARD GOETTISHEIM DDS (NPI 1609945419) is an individual periodontics provider in Mt Kisco, New York, licensed in New York (039336) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609945419
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameMR. LAWRENCE EDWARD GOETTISHEIMCredential: DDS
Location Address103 SOUTH BEDFORD RD, SUITE 110Mt Kisco, NY 10549-3452
Mailing Address103 South Bedford Rd, Suite 110Mt Kisco, NY 10549-3452 · (914) 241-7670 · Fax (914) 241-7254
Phone(914) 241-7670
Fax(914) 241-7254
Sole ProprietorNo
Enumeration DateNovember 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609945419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NY · 039336
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
103 SOUTH BEDFORD RD, Mt Kisco, NY 10549
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Lawrence Edward Goettisheim 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 10549 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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 Lawrence Goettisheim's NPI number?

The NPI number for Lawrence Goettisheim is 1609945419. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Lawrence Goettisheim located?

Lawrence Goettisheim practices at 103 South Bedford Rd Suite 110, Mt Kisco, NY 10549. The listed phone number is (914) 241-7670.

What is Lawrence Goettisheim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Lawrence Goettisheim enrolled in Medicare?

Yes. Lawrence Goettisheim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lawrence Goettisheim was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.