Sheila M Tedja Luwiharto, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

60139 Issued in CA

Practice address

27001 La Paz Rd Ste 236
Mission Viejo, CA 92691-5537

Phone

(949) 768-0211

NPI assigned

Aug 2, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Sheila Matilda Tedja Former name

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

Practice roles

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.

• Sheila Mt Luwiharto DDS Ms PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mission Viejo, CA
  • NPI 1871026682
  NPD (past) Authorized official

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1710265251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27001 LA PAZ RD STE 236",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915537",
            "telephone_number": "949-768-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27001 LA PAZ RD STE 236",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915537",
            "telephone_number": "949-768-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUWIHARTO",
        "first_name": "SHEILA",
        "middle_name": "M TEDJA",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60139",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "60139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "TEDJA",
            "middle_name": "MATILDA",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Abigail Luszcz
• Anthony Luu
• Bernie Thi Luu, PHARM D
• Quang Cat Luu, MD
• Ashleigh Luviano, LMFT
• Luxottica of America Inc
• Luxottica of America Inc.
• LV Accesspoint Solutions
• LW Inc
• Phuong CHI Ly, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.