Kathleen Sun Lim, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

48637 Issued in CA

Practice address

18102 Irvine Blvd Ste 101
Tustin, CA 92780-3423

Phone

(714) 838-9120

NPI assigned

Feb 22, 2007

Last updated

Dec 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kathleen S. Lim, DDS, P.C.

  dba Tustin Pediatric Dentistry

  • Pediatric Dentistry
  • Tustin, CA
  • NPI 1306436282
  NPD Authorized official
• Kathleen S. Lim, DDS and Michael J. McCartney, DDS

  • Pediatric Dentistry
  • Tustin, CA
  • NPI 1679633945
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1063547933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 CARLSON LN",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784712",
            "telephone_number": "714-323-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18102 IRVINE BLVD STE 101",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803423",
            "telephone_number": "714-838-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "KATHLEEN",
        "middle_name": "SUN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "48637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lighthouse Behavioral Solutions
• Lighthouse Medical Supply Inc.
• Lightpath Behavioral Solutions Inc
• Lilly Kao, M.D., Inc.
• Cathrin Hee Lim, MD
• Breannah Limbo
• Samuel Houston Limbong, M.D.
• Lin Wu Dba Oc Health Acupuncture
• Iris Lin, M.A. OTR/L
• Jennifer Chieh Lin, DDS

• Pediatric Dentistry in Tustin, CA
• Providers in Tustin, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.