Individual provider Active NPI

Joseph Mark Lima, DDS

  • Dentist
  • Bellefontaine, OH
National Provider Identifier
1285081786
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.24752 Issued in OH
Practice address
1021 N Main St
Bellefontaine, OH 43311-2359
Phone
(937) 292-7828
Fax
(937) 292-7916
NPI assigned
May 16, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.24752 OH Primary

Addresses

Primary practice location

1021 N Main St
Bellefontaine, OH 43311-2359

Mailing address

1021 N Main St
Bellefontaine, OH 43311-2359
Phone (937) 292-7828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161031002223 OH Order and Referring Only - DentistPractitioner - Dentist 1355629015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.24752OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Limazwick - Bellefontaine, LLC PastSince Dec 9, 2019 Accepting new patients
Logan Dental Care LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1285081786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 N MAIN ST",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112359",
            "telephone_number": "937-292-7828",
            "fax_number": "937-292-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 N MAIN ST",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112359",
            "telephone_number": "937-292-7828",
            "fax_number": "937-292-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMA",
        "first_name": "JOSEPH",
        "middle_name": "MARK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.24752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefontaine, OH

Sources for this page

Verify at the official NPI Registry.