Peter Wooyoung Lim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104096 Issued in CA

Practice address

26741 Rancho Pkwy Ste 105a
Lake Forest, CA 92630-8710

Phone

(949) 716-4892

NPI assigned

Jul 31, 2019

Last updated

Nov 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Peter Lim DDS

  dba Renew Dentistry of Irvine

  • Dentist
  • Irvine, CA
  • NPI 1083480610
  NPD Authorized official
• Michael Han DDS Inc

  • Dental Clinic/Center
  • Brea, CA
  • NPI 1679030100
  NPD (past)

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1265086888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21362 SPRUCE",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926924024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26741 RANCHO PKWY STE 105A",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308710",
            "telephone_number": "949-716-4892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1770 E Lambert Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Brea",
            "state": "CA",
            "postal_code": "928218001",
            "country_code": "US",
            "telephone_number": "714-990-6969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1155 S Diamond Bar Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Diamond Bar",
            "state": "CA",
            "postal_code": "917652235",
            "country_code": "US",
            "telephone_number": "909-396-4435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4846 Valley View Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Yorba Linda",
            "state": "CA",
            "postal_code": "928863600",
            "country_code": "US",
            "telephone_number": "714-579-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "PETER",
        "middle_name": "WOOYOUNG",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Jan Lian, L.AC
• Sam Shien-Chien Liang, L.AC., PH.D
• Linda Lifur-Bennett, PH.D.
• Lucy Ligday
• Christine Lillja, PSY.D.
• Wan Hsuan Lin
• Xiaohui Lin
• Yitong Lin, R.PH
• Cynthia Linares
• Michael Steven Linnell, D.C.

• General Practice Dentistry in Lake Forest, CA
• Providers in Lake Forest, 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 Nov 13, 2019; 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.