DR. EILEEN M LUJAN DMD
NPI 1093935587
Dentist - Endodontics in Miami, FL
NPI Status: Active since April 26, 2007
Contact Information
45 PONCE DE LEON BLVD
MIAMI, FL
ZIP 33135
Phone: (305) 448-4433
Fax: (305) 441-2821
- Individual
- Female
- Dentist
- Endodontics
- Accepts Insurance
- Opted-Out Medicare
About EILEEN LUJAN
This page provides the complete NPI Profile along with additional information for Eileen Lujan, a provider established in Miami, Florida with a medical specialization in Dentist, focusing in endodontics . The healthcare provider is registered in the NPI registry with number 1093935587 assigned on April 2007. The practitioner's primary taxonomy code is 1223E0200X with license number DN14049 (FL). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1093935587
- Provider Name
- DR. EILEEN M LUJAN DMD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 45 PONCE DE LEON BLVD MIAMI, FL 33135
- Location Phone
- (305) 448-4433
- Location Fax
- (305) 441-2821
- Mailing Address
- 45 PONCE DE LEON BLVD MIAMI, FL 33135
- Mailing Phone
- (305) 448-4433
- Mailing Fax
- (305) 441-2821
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-26-2007
- Last Update Date
- 11-30-2018
- Code Navigator
A dentist like Eileen Lujan is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Eileen Lujan opted out of Medicare effective on 08-12-2015 until 08-12-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Endodontics
- Taxonomy Code
- 1223E0200X
- Type
- Dental Providers
- License No.
- DN14049
- License State
- FL
- Taxonomy Description
- The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Guardian Basics for Familes and Individuals - PPO
- Guardian Essentials for Families and Individuals - PPO
- Guardian Preventive Plus for Families and Individuals - PPO
- Guardian Select for Families and Individuals - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - Basic - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| DN14049 | OTHER (01) | FL | DENTAL LICENSE |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 08-12-2015
Opt-Out End Date: 08-12-2027
Eligible to Order and Refer? No
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1093935587, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093935587, enumerated as an "individual" on April 26, 2007.
The provider is located at 45 PONCE DE LEON BLVD MIAMI, FL 33135 and the phone number is (305) 448-4433.
Dentist with taxonomy code 1223E0200X and a focus in Endodontics.
The provider might be accepting Accepts: Guardian, Humana, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
