Individual provider Active NPI

Rathana Lim, MD, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • New Orleans, LA
National Provider Identifier
1427219245
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
6089 Issued in LA
Practice address
1100 Florida Ave
5TH Floor - Dept of Oral & Maxillofacial Surgery
New Orleans, LA 70119-2715
Phone
(504) 941-8216
NPI assigned
Jun 24, 2008
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 56788 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 6089 LA Primary

Addresses

Primary practice location

1100 Florida Ave
5TH Floor - Dept of Oral & Maxillofacial Surgery
New Orleans, LA 70119-2715

Mailing address

230 20TH St
New Orleans, LA 70124-1236
Phone (213) 422-0928

Other names 1

  • Dr. Ray Lim Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20150826000746 LA Practitioner - Oral Surgery 1456667179 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
56788CAMDDentist
6089LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jul 1, 2015 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jul 1, 2015 Accepting new patients

Locations

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

3700 Saint Charles Ave
New Orleans, LA 70115
Phone (504) 895-7428

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1427219245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 20TH ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701241236",
            "telephone_number": "213-422-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FLORIDA AVE",
            "address_2": "5TH FLOOR - DEPT OF ORAL & MAXILLOFACIAL SURGERY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701192715",
            "telephone_number": "504-941-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "RATHANA",
        "name_prefix": "Dr.",
        "credential": "MD, DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56788",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": "6089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAY",
            "last_name": "LIM",
            "prefix": "DR.",
            "credential": "MD, DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.