LAN SU DMD PHD
NPI 1184869463
Dentist - Oral and Maxillofacial Pathology in Westlake Village, CA

Q: What is Lan Su's NPI number?

The NPI number for Lan Su is 1184869463. It was assigned to this individual provider in the NPPES registry on December 15, 2008.

Q: What is Lan Su's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Q: Is Lan Su enrolled in Medicare?

No. Lan Su has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Lan Su was last updated on December 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 15, 2008Opted out of Medicare · through Jan 1, 2027

31332 VIA COLINAS STE 109, WESTLAKE VILLAGE, CA 91362(818) 865-1039(818) 865-8375 Get Directions Write a Review

NPPES record last updated: December 15, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lan Su Dmd Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAN SU DMD PHD (NPI 1184869463) is an individual oral and maxillofacial pathology provider in Westlake Village, California, licensed in California (46977) and active in the NPI registry since December 2008. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1184869463

Entity TypeIndividualFemale

Primary Taxonomy1223P0106X

Provider Legal NameLAN SUCredential: DMD PHD

Location Address31332 VIA COLINAS STE 109Westlake Village, CA 91362-6779

Mailing Address31332 Via Colinas Ste 109Westlake Village, CA 91362-6779 · (818) 865-1039 · Fax (818) 865-8375

Phone(818) 865-1039

Fax(818) 865-8375

Sole ProprietorNo

Enumeration DateDecember 15, 2008

✔ NPI 1184869463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers

Taxonomy Code1223P0106X

License✔ Licensed in CA · 46977

Definition

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.

31332 VIA COLINAS STE 109, Westlake Village, CA 91362

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Other Identifiers 1

Medicare UPINU87454CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lan Su Dmd Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2013 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2013

Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91362 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$95.28 typical visit price

range $62.32 – $185.36

Typical copayment $23.82 (range $15.58 – $46.34)

Most-billed visit code 99203

Established Patient

$77.11 typical visit price

range $20.68 – $151.85

Typical copayment $19.27 (range $5.17 – $37.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lan Su's NPI number?

The NPI number for Lan Su is 1184869463. It was assigned to this individual provider in the NPPES registry on December 15, 2008.

Where is Lan Su located?

Lan Su practices at 31332 Via Colinas Ste 109, Westlake Village, CA 91362. The listed phone number is (818) 865-1039.

What is Lan Su's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Lan Su enrolled in Medicare?

No. Lan Su has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lan Su was last updated on December 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.