Individual provider Active NPI

Hana Tica Lim, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Honolulu, HI
National Provider Identifier
1174083844
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
DT-3239-0 Issued in HI
Practice address
1580 Makaloa St Ste 725
Honolulu, HI 96814-3216
Phone
(808) 973-3747
Fax
(808) 973-3757
NPI assigned
Mar 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X DT-3239-0 HI Primary

Addresses

Primary practice location

1580 Makaloa St Ste 725
Honolulu, HI 96814-3216

Mailing address

1580 Makaloa St Ste 725
Honolulu, HI 96814-3216
Phone (808) 973-3747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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

Enrollment IDStateProvider typePAC IDDetails
I20250923000983 HI Practitioner - Oral Surgery 4082942073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Roseman Univ of HLTH Sciences, Col of Dental Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oral and Maxillofacial Surgery Associates IncGroup PAC ID 7012073018, 3 clinicians

Practice addresses (Care Compare)

1580 Makaloa St
Suite 725
Honolulu, HI 96814-3216
Phone (808) 973-3747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DT-3239-0HIMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Oral and Maxillofacial Surgery Associates Inc CurrentSince Sep 2, 2025 Accepting new patients

Locations

1580 Makaloa St
Ste 725
Honolulu, HI 96814
Phone (808) 947-1422

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1174083844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 MAKALOA ST STE 725",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143216",
            "telephone_number": "808-973-3747",
            "fax_number": "808-973-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 MAKALOA ST STE 725",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143216",
            "telephone_number": "808-973-3747",
            "fax_number": "808-973-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "HANA",
        "middle_name": "TICA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "HI",
            "license": "DT-3239-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.