Individual provider

Elisa Sin, D.M.D.

Periodontics Medicare enrolled

Elisa Sin, D.M.D. is a provider specialising in Periodontics in Palmdale, CA, registered under NPI 1659655090.

Getting there

The practice address on file is 41250 12TH ST W STE A, Palmdale, CA 93551. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

41250 12TH ST W STE A, Palmdale, CA 93551 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
56422 CA Periodontics primary
DE60249811 WA Periodontics
D07398 AZ Periodontics

Licences are recorded in 3 states: CA, WA, AZ. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Dentist
PAC ID
0244544104
Enrollment ID
I20150805008548

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Dentist. 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.

Licensed in 3 states

This provider holds licences in 3 states: Arizona, California and Washington. The practice address on file is in Palmdale, CA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

AZ Arizona
Licence
D07398
Specialty
Periodontics
Verify with the AZ board →
CA California practice address
Licence
56422
Specialty
Periodontics
Verify with the CA board →
WA Washington
Licence
DE60249811
Specialty
Periodontics
Verify with the WA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

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
Dental Providers Dentist Periodontics

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.

CodeSpecialtyLicenceState
1223P0300X Periodontics Periodontics 56422 CA primary
1223P0300X Periodontics Periodontics DE60249811 WA
1223P0300X Periodontics Periodontics D07398 AZ

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-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1659655090 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 4, 2011
Last updatedMar 6, 2024
StatusActive
Sole proprietorNo
CredentialD.M.D.
Practice address 41250 12TH ST W STE A
Palmdale, CA 93551
(617) 620-0873
This record was updated on Mar 6, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1659655090 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
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 6 5 9 6 5 5 0 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 1 9 3 5 1 0 9

Sum = 60 · next multiple of 10 = 60 · 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.

Common questions

What is NPI number 1659655090?
NPI 1659655090 is the National Provider Identifier assigned to Elisa Sin, D.M.D. in Palmdale, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Periodontics cover?
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.
How do I contact Elisa Sin, D.M.D.?
The phone number on file with NPPES is (617) 620-0873, last updated Mar 6, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Elisa Sin, D.M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1659655090 a valid number?
Yes. 1659655090 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.