Active NPI
Ryann Kristy Lim, DDS
- Dentist
- Astoria, OR
National Provider Identifier
1275390833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D12168
- Practice address
- 2275 Commercial St
Astoria, OR 97103-3327 - Phone
- (503) 338-4170
- NPI assigned
- Feb 29, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE70001919 | WA | |
| Dentist | 122300000X | D12168 | OR | Primary |
Addresses
Primary practice location
2275 Commercial St
Astoria, OR 97103-3327
Mailing address
PO Box 190
Toppenish, WA 98948-0190
Phone (509) 865-2395
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rlim52061@yvfwc.direct-ci.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- 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 |
|---|---|---|---|---|
| I20250731000572 | OR | Order and Referring Only - Dentist | 0648788836 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D12168 | OR | MD | Dentist |
| DE70001919 | WA | MD | Dentist |
Interoperability endpoints
- rlim52061@yvfwc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1275390833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "TOPPENISH",
"state": "WA",
"postal_code": "989480190",
"telephone_number": "509-865-2395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 COMMERCIAL ST",
"city": "ASTORIA",
"state": "OR",
"postal_code": "971033327",
"telephone_number": "503-338-4170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "RYANN",
"middle_name": "KRISTY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-29",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE70001919",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D12168",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rlim52061@yvfwc.direct-ci.com",
"affiliation": "N",
"endpointDescription": "YVFWC Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "2275 Commercial St",
"city": "Astoria",
"state": "OR",
"country_code": "US",
"postal_code": "971033327",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Astoria, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.