Sheldon Xiaochen Lu, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

64765 Issued in CA

Practice address

1111 W Town and Country Rd Ste 46
Orange, CA 92868-4667

Phone

(714) 835-4441

Fax

(714) 835-0188

NPI assigned

Aug 23, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sheldon Xiaochen Lu DMD Inc

  • Periodontics
  • Tustin, CA
  • NPI 1417479890
  Medicare reassignment NPD Authorized official
• William T. Futa DDS Inc.

  • Periodontics
  • Orange, CA
  • NPI 1851508535
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1306039169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W TOWN AND COUNTRY RD STE 46",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684667",
            "telephone_number": "714-835-4441",
            "fax_number": "714-835-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W TOWN AND COUNTRY RD STE 46",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684667",
            "telephone_number": "714-835-4441",
            "fax_number": "714-835-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "SHELDON",
        "middle_name": "XIAOCHEN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-23",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "64765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Di Lu, MD
• Edwin Lu
• Grace Min-Ching Lu, RPH
• Hope Xingyi Lu, RN
• Kim D Lu, M.D.
• Tien Lu
• Tommy Thinh Lu
• Wanchun Lu, NP
• Zachary Nathan Lu
• Zhen Lu, M.D.

• Periodontics in Orange, CA
• Providers in Orange, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.