Dongkook Dennis Lim, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE60882689 Issued in WA

Practice address

19106 33Rd Ave W Ste 1
Lynnwood, WA 98036-4712

Phone

(425) 775-5411

NPI assigned

Mar 29, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Lim Pediatric Dentistry

  • Pediatric Dentistry
  • Lynnwood, WA
  • NPI 1528797180
  NPD Authorized official
• Clint T. Worton, DDS - Lynnwood, PS

  • Dental Clinic/Center
  • Lynnwood, WA
  • NPI 1922253723
  NPD (past)

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1073045027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13120 NE 112TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980334102",
            "telephone_number": "626-940-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19106 33RD AVE W STE 1",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364712",
            "telephone_number": "425-775-5411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Strander Blvd",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981882935",
            "country_code": "US",
            "telephone_number": "120-657-5113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 S Curtis Ave Apt 1",
            "address_purpose": "LOCATION",
            "city": "Alhambra",
            "state": "CA",
            "postal_code": "918031723",
            "country_code": "US",
            "telephone_number": "626-940-7769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "DONGKOOK",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2022-06-08",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS101029",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60882689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifeplus Health Centers, PS
• Miki Lilly, DO
• Lily Senior Home
• Lim Pediatric Dentistry
• Chaeryen Lim
• Julia Lim, OTR/L
• Sue Kyung Lim, D.D.S.
• Lima Lima E Makahou
• Si Chen Lin
• Stan S Lin, DDS

• Pediatric Dentistry in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.