Michelle to DDS and Roger Lim DDS Apc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

46337 Issued in CA

Legal business name

MICHELLE TO DDS AND ROGER LIM DDS APC

Doing business as

Sparkling Star Children's Dentistry

Practice address

368 N Lemon Ave # C
Walnut, CA 91789-2345

Phone

(213) 447-3294

NPI assigned

Feb 3, 2017

Last updated

Feb 3, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michelle To, DDS

Title

Owner

Phone

(213) 447-3294

Specialties & licenses 1

Addresses

Other names 1

• Sparkling Star Children's Dentistry Doing business as

Locations

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1285172866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 N LEMON AVE # C",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892345",
            "telephone_number": "213-447-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 N LEMON AVE # C",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892345",
            "telephone_number": "213-447-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE TO DDS AND ROGER LIM DDS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "TO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-447-3294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "46337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sparkling Star Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Medina
• Piran Mehta, PMHNP-BC
• Darlene Rebecca Melendez
• Isabelle Mendoza
• Bryan Mestman
• Alexis Miclat
• Lorraine Marie Miles, RN, IBCLC-RLC
• Min Clinic Corporation
• Brett Kiyoshi Miyamoto
• Lauren Rei Miyamoto

• Pediatric Dentistry in Walnut, CA
• Providers in Walnut, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.