SHELDON XIAOCHEN LU DMD INC
SHELDON XIAOCHEN LU DMD INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1417479890, based in Tustin, CA. The organization lists 2 taxonomy classifications, with Periodontics recorded as primary.
Getting there
The practice address on file is 17501 IRVINE BLVD SUITE 101, Tustin, CA 92780. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 64765 | CA | Periodontics primary |
| 61156 | CA | General Practice Dentistry |
| 56342 | CA | General Practice Dentistry |
This provider holds licence 64765 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 1456619147
- Enrollment ID
- O20180102000894
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Periodontics covers
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. NUCC Health Care Provider Taxonomy, code 1223P0300X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223P0300X | Periodontics Periodontics | 64765 | CA | primary |
| 1223G0001X | General Practice Dentistry General Practice | 61156 | CA | |
| 1223G0001X | General Practice Dentistry General Practice | 56342 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1417479890 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 7, 2017 |
| Last updated | Jul 21, 2022 |
| Status | Active |
| Practice address |
17501 IRVINE BLVD SUITE 101 Tustin, CA 92780 (714) 835-4441 Fax (714) 835-0188 |
| Mailing address |
17501 IRVINE BLVD STE 101 Tustin, CA 92780 |
| Other identifiers |
528732
· Medicaid (CA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 1 | 7 | 4 | 7 | 9 | 8 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 2 | 7 | 8 | 7 | 9 | 8 | 9 |
Sum = 80 · next multiple of 10 = 80 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.