Organization Active NPI

Peter Lim DDS

  • Dentist
  • Irvine, CA
National Provider Identifier
1083480610
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PETER LIM DDS
Doing business as
Renew Dentistry of Irvine
Practice address
4980 Barranca Pkwy Ste 205
Irvine, CA 92604-8653
Phone
(949) 561-1127
NPI assigned
Nov 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Peter LimNPI 1265086888
Title
Ceo
Phone
(949) 838-4234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4980 Barranca Pkwy Ste 205
Irvine, CA 92604-8653

Mailing address

4980 Barranca Pkwy Ste 205
Irvine, CA 92604-8653

Other names 1

  • Renew Dentistry of Irvine Doing business as

National Provider Directory

National Provider Directory

Locations

4980 Barranca Pkwy
Ste 205
Irvine, CA 92604
Phone (949) 561-1127

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1083480610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 BARRANCA PKWY STE 205",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926048653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4980 BARRANCA PKWY STE 205",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926048653",
            "telephone_number": "949-561-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER LIM DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-25",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-838-4234"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew Dentistry of Irvine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.