Active NPI
George D. Lim, DMD, Inc.
- General Practice Dentistry
- Los Angeles, CA
National Provider Identifier
1275775082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 43190
- Legal business name
- GEORGE D. LIM, DMD, INC.
- Practice address
- 401 S Fairfax Ave
Los Angeles, CA 90036-3133 - Phone
- (323) 951-0814
- NPI assigned
- Mar 26, 2009
- Organization subpart
- Yes
- Parent organization
- GEORGE D. LIM, DMD, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Milagros L. Lim
- Title
- HR Admin/Accounts
- Phone
- (323) 951-0814
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 43190 | CA | Primary |
Addresses
Primary practice location
401 S Fairfax Ave
Los Angeles, CA 90036-3133
Mailing address
401 S Fairfax Ave
Los Angeles, CA 90036-3133
Phone (323) 951-0814
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275775082 | Other | CA | DENTICAL |
| G92264 | Other | CA | DENTI-CAL PROVIDER NUMBER |
| 43190 | Other | CA | DENTAL LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mely@georgelimdental.com | Direct | |
| Direct Messaging Address | mely@georgelimdental.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider Directory- Tax ID family
- George D Lim DMD Inc
- Part of
- George D Lim DMD Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Los Angeles, CA
- NPI 1558455998
Locations
401 S Fairfax Ave
Los Angeles, CA 90036
Phone (323) 951-0814
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Los Angeles, CA
- NPI 1164209151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616544000000",
"number": "1275775082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S FAIRFAX AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900363133",
"telephone_number": "323-951-0814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S FAIRFAX AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900363133",
"telephone_number": "323-951-0814"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE D. LIM, DMD, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GEORGE D. LIM, DMD, INC.",
"enumeration_date": "2009-03-26",
"last_updated": "2021-03-24",
"certification_date": "2020-10-13",
"status": "A",
"authorized_official_last_name": "LIM",
"authorized_official_first_name": "MILAGROS",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "HR ADMIN/ACCOUNTS",
"authorized_official_telephone_number": "323-951-0814",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "43190",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTICAL",
"identifier": "1275775082",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI-CAL PROVIDER NUMBER",
"identifier": "G92264",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "43190",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mely@georgelimdental.com",
"affiliation": "N",
"endpointDescription": "email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "401 S. Fairfax Ave LA, CA 90037",
"address_1": "401 S Fairfax Ave",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900363133",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mely@georgelimdental.com",
"affiliation": "N",
"endpointDescription": "email address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "401 S Fairfax Ave",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900363133",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Los Angeles, CA
- George B. Shinn DDS P.C
- George C. in, M.D., Inc.
- George Chaux M D Inc
- George D Lim DMD Inc-Echo Park (George D Lim DMD Inc.)
- George D. Lim DMD Inc-Hollywood (George D Lim DMD Inc.)
- George D. Lim, DMD, Inc.
- George Fouladian M.D. Inc. a California Professional Corporation
- George Fouladian MD Inc a California Professional Corp
- George Fouladian, M.D. Medical Group
- George K. Hanna MD, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.