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DR. LAWRENCE OTTO MIETZELFELD JR. D.C.
NPI 1710087408
Chiropractor in Oneonta, NY

Active since September 23, 2006
55 S MAIN ST, ONEONTA, NY 13820(607) 432-4330 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lawrence Otto Mietzelfeld Jr. D.c. NPPES

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

DR. LAWRENCE OTTO MIETZELFELD JR. D.C. (NPI 1710087408) is an individual chiropractor in Oneonta, New York, licensed in New York (X003096) and active in the NPI registry since September 2006. He is a graduate of Los Angeles College Of Chiropractic (1981).

NPPES Registry Identity

NPI1710087408
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. LAWRENCE OTTO MIETZELFELD JR.Credential: D.C.
Location Address55 S MAIN STOneonta, NY 13820-2516
Mailing Address55 S Main StOneonta, NY 13820-2516 · (607) 432-4330
Phone(607) 432-4330
Sole ProprietorYes
Medical School CMSLos Angeles College Of ChiropracticGraduated 1981
Enumeration DateSeptember 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710087408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · X003096
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
55 S MAIN ST, Oneonta, NY 13820
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Other Identifiers 2

OtherC03096-7NY · Workers' Compensation
Medicare ID-Type Unspecified38820CNY

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. Lawrence Otto Mietzelfeld Jr. D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466536800
PECOS Enrollment IDI20080225000485

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 Mietzelfeld's NPI number?

The NPI number for Lawrence Mietzelfeld is 1710087408. It was assigned to this individual provider in the NPPES registry on September 23, 2006.

Where is Lawrence Mietzelfeld located?

Lawrence Mietzelfeld practices at 55 S Main St, Oneonta, NY 13820. The listed phone number is (607) 432-4330.

What is Lawrence Mietzelfeld's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Lawrence Mietzelfeld enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lawrence Mietzelfeld was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.