Individual provider Active NPI

Eunhyung Lim, DMD

  • General Practice Dentistry
  • Puyallup, WA
National Provider Identifier
1427576602
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60746347 Issued in WA
Practice address
16021 Meridian E
Puyallup, WA 98375-9605
Phone
(253) 845-1600
NPI assigned
Sep 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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 DE60746347 WA Primary

Addresses

Primary practice location

16021 Meridian E
Puyallup, WA 98375-9605

Mailing address

24040 SE Kent Kangley Rd Unit E200
Maple Valley, WA 98038-6934

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

State licenses

LicenseStateTypeSpecialty
DE60746347WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brus & Lim, PPLC General Practice CurrentSince Sep 23, 2024 Accepting new patients
Jeffrey J Brus DMD PLLC PastSince Sep 23, 2024 Accepting new patients
Nurani, Mitchell, Kim, PC Past Accepting new patients

Locations

16021 Meridian E
Puyallup, WA 98375
Phone (253) 845-1600

Organizations & group practices 3

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": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1427576602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24040 SE KENT KANGLEY RD UNIT E200",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980386934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16021 MERIDIAN E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983759605",
            "telephone_number": "253-845-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "EUNHYUNG",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60746347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.