NPIMap

Organization Active NPI

Lim & Elrashidy DDS Dental Group

  • General Practice Dentistry
  • Danville, CA
National Provider Identifier
1245838036
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LIM & ELRASHIDY DDS DENTAL GROUP
Doing business as
DIABLO DENTAL GROUP
Practice address
156 Diablo Rd Ste 202
Danville, CA 94526-3312
Phone
(925) 837-1742
NPI assigned
Oct 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Authorized official

Name
Kamile Jureviciute Lim, DDS
Title
Director
Phone
(408) 608-4294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

156 Diablo Rd Ste 202
Danville, CA 94526-3312

Mailing address

156 Diablo Rd Ste 202
Danville, CA 94526-3312

Other names 1

  • DIABLO DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

156 Diablo Rd
Ste 202
Danville, CA 94526
Phone (925) 837-1742

Practitioners & affiliated clinicians

Practitioners 3

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": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1245838036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 DIABLO RD STE 202",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 DIABLO RD STE 202",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263312",
            "telephone_number": "925-837-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIM & ELRASHIDY DDS DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "KAMILE",
        "authorized_official_middle_name": "JUREVICIUTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-608-4294",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIABLO DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.