Andrew Juhwan Lim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42846 Issued in CA

Practice address

15550 Main St Ste B7
Hesperia, CA 92345-3491

Phone

(760) 947-7777

Fax

(760) 947-1331

NPI assigned

Dec 20, 2006

Last updated

Apr 9, 2020By the provider in NPPES

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

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

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.

• Andrew J. Lim, DDS, Inc.

  • General Practice Dentistry
  • Hesperia, CA
  • NPI 1952513103
  NPD Authorized official
• Dr. Afshar Dental Corporation

  • Dentist
  • Hesperia, CA
  • NPI 1053598805
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1144384967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15550 MAIN ST STE B7",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453491",
            "telephone_number": "760-947-7777",
            "fax_number": "760-947-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15550 MAIN ST STE B7",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453491",
            "telephone_number": "760-947-7777",
            "fax_number": "760-947-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "ANDREW",
        "middle_name": "JUHWAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Westfield Baxter, a Psychological Corporation
• Leslie Westfield Baxter, a Psychological Corporation (Tenazcity Psychological Services)
• Lucy Li, PHARMD
• Valecia Liew
• Lighthouse Medical Supplies LLC
• Sandra Limon, NP
• Malana Linder, SLPA
• Sierra Dale Livengood
• Carlos Alfonso Llamas
• Pamela Kay Lockhart, MS

• General Practice Dentistry in Hesperia, CA
• Providers in Hesperia, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.