Sung Min Lim, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

65274 Issued in CA

Practice address

12065 Orange St
Norwalk, CA 90650-4130

Phone

(562) 584-4288

Fax

(562) 584-4488

NPI assigned

Oct 8, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• D Park Dental Corporation

  • Dentist
  • Norwalk, CA
  • NPI 1134550403
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475884800000",
    "number": "1043760598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12065 ORANGE ST",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504130",
            "telephone_number": "562-584-4288",
            "fax_number": "562-584-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12065 ORANGE ST",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504130",
            "telephone_number": "562-584-4288",
            "fax_number": "562-584-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "SUNG",
        "middle_name": "MIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-08",
        "last_updated": "2016-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "65274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65274",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juventino Liera III
• Jason Lieu
• Life Care Centers of America, Inc.
• Christopher Lim
• Jung-Eun Jane Lim, MD
• Mark Scott Linam, DPM
• Jennifer Landa Linares
• Brenda Lee Lincoln, ASW
• Erin Nicole Lind
• Stephanie Ann Lind, MSW, ASW

• Dentist in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2016; 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.

Verify at the official NPI Registry.