DR. MITCHELL ALLEN GOODIS D.D.S.
NPI 1851495147
Dentist - General Practice in Diamond Springs, CA

Active since September 08, 2006PECOS Enrolled
540 PLEASANT VALLEY RD, STE 102, DIAMOND SPRINGS, CA 95619(530) 344-0290(530) 344-0291 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mitchell Allen Goodis D.d.s. NPPES

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

DR. MITCHELL ALLEN GOODIS D.D.S. (NPI 1851495147) is an individual general practice provider in Diamond Springs, California, licensed in California (D43010) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851495147
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MITCHELL ALLEN GOODISCredential: D.D.S.
Location Address540 PLEASANT VALLEY RD, STE 102Diamond Springs, CA 95619-0500
Mailing AddressPo Box 500, Ste 102Diamond Springs, CA 95619-0500 · (530) 344-0290 · Fax (530) 344-0291
Fax(530) 344-0291
Sole ProprietorYes
Enumeration DateSeptember 8, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1851495147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · D43010
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.
540 PLEASANT VALLEY RD, Diamond Springs, CA 95619

Other Names 1

Professional Name (2)Dr. Mitchell Allen Goodis Dds

Accepted Insurance

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. Mitchell Allen Goodis D.d.s. 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 95619 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

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 Mitchell Goodis's NPI number?

The NPI number for Mitchell Goodis is 1851495147. It was assigned to this individual provider in the NPPES registry on September 8, 2006. The provider is also known as Dr. Mitchell Allen Goodis Dds.

Where is Mitchell Goodis located?

Mitchell Goodis practices at 540 Pleasant Valley Rd Ste 102, Diamond Springs, CA 95619. The listed phone number is (530) 344-0290.

What is Mitchell Goodis's specialty?

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

Is Mitchell Goodis enrolled in Medicare?

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

What insurance does Mitchell Goodis accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 2 other insurers list Mitchell Goodis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mitchell Goodis 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.