NPIMap

Individual provider Active NPI

Alice Talens Lim, D.D.S

  • General Practice Dentistry
  • West Covina, CA
National Provider Identifier
1376702167
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56969 Issued in CA
Practice address
1559 E Amar Rd
Suite V
West Covina, CA 91792-1679
Phone
(626) 913-3341
Fax
(626) 913-3601
NPI assigned
Jun 5, 2008
Last updated
Oct 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 56969 CA Primary

Addresses

Primary practice location

1559 E Amar Rd
Suite V
West Covina, CA 91792-1679

Mailing address

1559 E Amar Rd
Suite V
West Covina, CA 91792-1679
Phone (626) 913-3341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arte Redel Apo DMD Inc. Past Accepting new patients
Banaria Dental Group Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alim106305@direct.ochin.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1376702167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 E AMAR RD",
            "address_2": "SUITE V",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921679",
            "telephone_number": "626-913-3341",
            "fax_number": "626-913-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 E AMAR RD",
            "address_2": "SUITE V",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921679",
            "telephone_number": "626-913-3341",
            "fax_number": "626-913-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "ALICE",
        "middle_name": "TALENS",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.