Active NPI
Steve Lim, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Los Angeles, CA
National Provider Identifier
1215291059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 61228
- Practice address
- 722 S Los Angeles St Apt 415
Los Angeles, CA 90014-4507 - Phone
- (213) 327-7640
- NPI assigned
- Jun 26, 2012
- Last updated
- Apr 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 61228 | CA | Primary |
Addresses
Primary practice location
722 S Los Angeles St Apt 415
Los Angeles, CA 90014-4507
Mailing address
10687 N Inverary LN
Fresno, CA 93730-3584
Phone (213) 718-6799
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210706000738 | CA | Practitioner - Maxillofacial Surgery | 7315281094 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard C Van DDS Inc | Current | Accepting new patients |
Locations
3858 Tyler St
Riverside, CA 92503
Phone (951) 509-8828
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Riverside, CA
- NPI 1447833462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1215291059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10687 N INVERARY LN",
"city": "FRESNO",
"state": "CA",
"postal_code": "937303584",
"telephone_number": "213-718-6799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 S LOS ANGELES ST APT 415",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900144507",
"telephone_number": "213-327-7640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "STEVE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-26",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "61228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.