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DR. RANDOLPH L MITCHELL DMD
NPI 1730184334
Dentist - General Practice in Lyons, NY

Active since June 20, 2005PECOS Enrolled
47 WILLIAM ST, LYONS, NY 14489(315) 946-6511(315) 946-6483 Get Directions Write a Review

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

About Dr. Randolph L Mitchell Dmd NPPES

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

DR. RANDOLPH L MITCHELL DMD (NPI 1730184334) is an individual general practice provider in Lyons, New York, licensed in New York (037192) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730184334
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RANDOLPH L MITCHELLCredential: DMD
Location Address47 WILLIAM STLyons, NY 14489-1544
Mailing Address47 William StLyons, NY 14489-1544 · (315) 946-6511 · Fax (315) 946-6483
Phone(315) 946-6511
Fax(315) 946-6483
Sole ProprietorYes
Enumeration DateJune 20, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1730184334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 037192
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
47 WILLIAM ST, Lyons, NY 14489
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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)

Dr. Randolph L Mitchell 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 14489 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 2

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

JOSEPH RUSSO DDS
Dentist
47 WILLIAM ST
LYONS, NY 14489
Wayne County (315) 946-6511
JOSEPH J RUSSO DDS
Clinic/Center (Dental)
47 WILLIAM ST
LYONS, NY 14489
Wayne County (315) 946-6511

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 Randolph Mitchell's NPI number?

The NPI number for Randolph Mitchell is 1730184334. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Randolph Mitchell located?

Randolph Mitchell practices at 47 William St, Lyons, NY 14489. The listed phone number is (315) 946-6511.

What is Randolph Mitchell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Randolph Mitchell enrolled in Medicare?

Yes. Randolph Mitchell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

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