Active NPI
Aeni Lim, DDS
- General Practice Dentistry
- Mansfield, TX
National Provider Identifier
1023452166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 28698
- Practice address
- 1551 Highway 287 N
Suite 411
Mansfield, TX 76063-8890 - Phone
- (817) 453-6108
- NPI assigned
- Apr 19, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 28698 | TX | Primary |
Addresses
Primary practice location
1551 Highway 287 N
Suite 411
Mansfield, TX 76063-8890
Mailing address
701 E Bluff St
Apt 2108
Fort Worth, TX 76102-2300
Phone (817) 453-6108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161006002415 | WA | Order and Referring Only - Dentist | 9931497963 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28698 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brus & Lim, PPLC | General Practice | Current | Accepting new patients |
| Debbie Lane Dental & Orthodontics, PLLC | General Practice | Past | Accepting new patients |
Locations
16021 Meridian E
Puyallup, WA 98375
Phone (253) 845-1600
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Puyallup, WA
- NPI 1518507037
-
- General Practice Dentistry
- Mansfield, TX
- NPI 1811268659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366329600000",
"number": "1023452166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E BLUFF ST",
"address_2": "APT 2108",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761022300",
"telephone_number": "817-453-6108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 HIGHWAY 287 N",
"address_2": "SUITE 411",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760638890",
"telephone_number": "817-453-6108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "AENI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-19",
"last_updated": "2013-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "28698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
- LG Charity Home Health Care Services, Inc
- William Lian, M.D.
- Life Chapters Counseling, PLLC
- Life-First Home Health Care, Inc.
- Lifeforge, PLLC (Calibration Chiropractic)
- Leah Limpert, RPH
- Lindsey Vandyke, D.O. PLLC (Advanced Institute for Diabetes & Endocrinology)
- Tonya Kuaiwan Liner, FNP-C
- Davina D Linguist, LPC-ASSOCIATE
- Jeanette Hilton Linthicum
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.