LAN SU DMD PHD
NPI 1164472353
Dentist - Oral and Maxillofacial Pathology in Westlake Village, CA

NPI Status: Active since May 11, 2006

Contact Information

31332 VIA COLINAS
SUITE 109
WESTLAKE VILLAGE, CA
ZIP 91362
Phone: (818) 865-1039
Fax: (818) 865-8375

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  • Organization
  • Dentist
  • Oral and Maxillofacial Pathology
  • CLIA Number: 05D1010973
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 05-31-2026

About LAN SU DMD PHD

This page provides the complete NPI Profile along with additional information for Lan Su Dmd Phd, a provider established in Westlake Village, California operating as a Dentist, focusing in oral and maxillofacial pathology . The healthcare provider is registered in the NPI registry with number 1164472353 assigned on May 2006. The practitioner's primary taxonomy code is 1223P0106X with license number 46977 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Lan Su Dmd, Phd (Owner Doctor)

NPI
1164472353
Provider Name
LAN SU DMD PHD
Entity Type
Organization
Location Address
31332 VIA COLINAS SUITE 109 WESTLAKE VILLAGE, CA 91362
Location Phone
(818) 865-1039
Location Fax
(818) 865-8375
Mailing Address
31332 VIA COLINAS SUITE 109 WESTLAKE VILLAGE, CA 91362
Mailing Phone
(818) 865-1039
Mailing Fax
(818) 865-8375
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-11-2006
Last Update Date
08-22-2020
Code Navigator

A dentist like Lan Su Dmd Phd 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.

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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 Oral and Maxillofacial Pathology

Taxonomy Code
1223P0106X
Type
Dental Providers
License No.
46977
License State
CA
Taxonomy Description
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. LAN SU DMD, PHD

Authorized Official Title
OWNER DOCTOR
Authorized Official Phone
(818) 865-1039

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D1010973
Facility Type
Independent
Certificate Effective Date
March 29, 2022
Certificate Expiration Date
May 31, 2026
Laboratory Director
LAN SU, DMD, PHD
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Lan Su Dmd Phd after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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 1164472353, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 4 → 8 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 8 + 7 + 4 + 3 + 1 + 0 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1164472353.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164472353, enumerated as an "organization" on May 11, 2006.

The provider is located at 31332 VIA COLINAS SUITE 109 WESTLAKE VILLAGE, CA 91362 and the phone number is (818) 865-1039.

Dentist with taxonomy code 1223P0106X and a focus in Oral and Maxillofacial Pathology.