Organization Active NPI

Simon W Lim, DDS Inc

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1427349653
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42254 Issued in CA
Legal business name
SIMON W LIM, DDS INC
Practice address
2320 Taraval St
San Francisco, CA 94116-2252
Phone
(415) 681-5825
Fax
(415) 681-5617
NPI assigned
Apr 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Dr. Simon S Lim, DDSNPI 1912298142
Title
President
Phone
(415) 681-5825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 42254 CA Primary

Addresses

Primary practice location

2320 Taraval St
San Francisco, CA 94116-2252

Mailing address

2320 Taraval St
San Francisco, CA 94116-2252
Phone (415) 681-5825

National Provider Directory

National Provider Directory

Locations

2320 Taraval St
San Francisco, CA 94116
Phone (415) 681-5825

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1427349653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 TARAVAL ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941162252",
            "telephone_number": "415-681-5825",
            "fax_number": "415-681-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 TARAVAL ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941162252",
            "telephone_number": "415-681-5825",
            "fax_number": "415-681-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON W LIM, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-681-5825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.