Sheldon Xiaochen Lu DMD Inc
NPI 1417479890 · Periodontics · Tustin, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sheldon Xiaochen Lu DMD Inc is a Periodontics organization in Tustin, CA (NPI 1417479890).
Provider details
- NPI number
- 1417479890
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Sheldon Lu, Owner(714) 835-4441
- License
- 61156 (CA)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Sheldon Xiaochen Lu DMD Inc
- Former legal business name
- Sheldon Xiaochen Lu DMD Inc
Registry dates
- Enumerated
- 2017-07-07
- Last updated
- 2022-07-21
Frequently asked questions
- What is Sheldon Xiaochen Lu DMD Inc's NPI number?
- Sheldon Xiaochen Lu DMD Inc's National Provider Identifier (NPI) is 1417479890, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sheldon Xiaochen Lu DMD Inc?
- Sheldon Xiaochen Lu DMD Inc is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Sheldon Xiaochen Lu DMD Inc located?
- Sheldon Xiaochen Lu DMD Inc's practice location on file with NPPES is 17501 Irvine Blvd, Tustin, CA 92780-3103.
- What is Sheldon Xiaochen Lu DMD Inc's phone number?
- The practice phone number listed in the NPPES registry for Sheldon Xiaochen Lu DMD Inc is (714) 835-4441.
- Does Sheldon Xiaochen Lu DMD Inc accept Medicare?
- Sheldon Xiaochen Lu DMD Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sheldon Xiaochen Lu DMD Inc?
- The authorized official listed on Sheldon Xiaochen Lu DMD Inc's NPPES record is Sheldon Lu, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sheldon Xiaochen Lu DMD Inc's NPI active?
- Yes — Sheldon Xiaochen Lu DMD Inc's NPI (1417479890) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.