Active NPI
Rachel Bobae Lim, DDS
- Oral & Maxillofacial Surgery (D.M.D.)
- Seattle, WA
National Provider Identifier
1265972293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- DE60812299
- Practice address
- 1959 NE Pacific St Box 357134
Seattle, WA 98195-0001 - Phone
- (310) 951-8421
- NPI assigned
- Feb 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | DR60753961 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | DE60812299 | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific St Box 357134
Seattle, WA 98195-0001
Mailing address
30422 Camino Porvenir
Rancho Palos Verdes, CA 90275-4535
Phone (310) 951-8421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170922003370 | WA | Order and Referring Only - Oral Surgery | 5799059168 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517961600000",
"number": "1265972293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30422 CAMINO PORVENIR",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902754535",
"telephone_number": "310-951-8421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST BOX 357134",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981950001",
"telephone_number": "310-951-8421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "RACHEL",
"middle_name": "BOBAE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-23",
"last_updated": "2018-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "WA",
"license": "DR60753961",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "WA",
"license": "DE60812299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.