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SHELDON XIAOCHEN LU DMD INC
NPI 1417479890
Dentist - Periodontics in Tustin, CA

Active since July 07, 2017
17501 IRVINE BLVD, SUITE 101, TUSTIN, CA 92780(714) 835-4441(714) 835-0188 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jul 7, 2017 (2 updates tracked since 2017).

About Sheldon Xiaochen Lu Dmd Inc NPPES

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

SHELDON XIAOCHEN LU DMD INC (NPI 1417479890) is a healthcare organization registered as a periodontics in Tustin, California and active in the NPI registry since July 2017. The organization lists Sheldon Xiaochen Lu, Owner, as its authorized official.

NPPES Registry Identity

NPI1417479890
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameSHELDON XIAOCHEN LU DMD INC
Location Address17501 IRVINE BLVD, SUITE 101Tustin, CA 92780-3103
Mailing Address17501 Irvine Blvd Ste 101Tustin, CA 92780-3147 · (714) 835-4441 · Fax (714) 835-0188
Phone(714) 835-4441
Fax(714) 835-0188
Organization SubpartNo
Authorized OfficialSheldon Xiaochen LuOwner · (714) 835-4441
Enumeration DateJuly 7, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1417479890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 64765
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 61156 (CA), 56342 (CA)
17501 IRVINE BLVD, Tustin, CA 92780
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Other Names 1

Former Legal Business NameSheldon Xiaochen Lu Dmd Inc

Other Identifiers 1

Medicaid528732CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sheldon Xiaochen Lu Dmd Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sheldon Xiaochen Lu Dmd Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sheldon Lu, DMD
Oral Surgery
NPI 1306039169
1111 W TOWN AND COUNTRY RD STE 46
Orange, CA 92868
(714) 835-4441
✔ PECOS3.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sheldon Xiaochen Lu Dmd Inc's NPI number?

The NPI number for Sheldon Xiaochen Lu Dmd Inc is 1417479890. It was assigned to this organization in the NPPES registry on July 7, 2017.

Where is Sheldon Xiaochen Lu Dmd Inc located?

Sheldon Xiaochen Lu Dmd Inc is located at 17501 Irvine Blvd Suite 101, Tustin, CA 92780. The listed phone number is (714) 835-4441.

What is Sheldon Xiaochen Lu Dmd Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Sheldon Xiaochen Lu Dmd Inc enrolled in Medicare?

Yes. Sheldon Xiaochen Lu Dmd Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sheldon Xiaochen Lu Dmd Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Sheldon Xiaochen Lu Dmd Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sheldon Xiaochen Lu Dmd Inc accept?

Health plans from UnitedHealthcare list Sheldon Xiaochen Lu Dmd Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sheldon Xiaochen Lu Dmd Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.