Organization Active NPI

Lim Dentistry Inc

  • Dentist
  • Bakersfield, CA
National Provider Identifier
1427797141
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LIM DENTISTRY INC
Practice address
4661 Stockdale Hwy
Bakersfield, CA 93309-2614
Phone
(661) 837-0435
NPI assigned
Jun 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Dr. Ching Lan Lim, DMDNPI 1164657425
Title
President
Phone
(949) 202-7952

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4661 Stockdale Hwy
Bakersfield, CA 93309-2614

Mailing address

11503 Pacific Shores Dr
Bakersfield, CA 93312-8211
Phone (949) 202-7952

Other identifiers 1

IdentifierTypeStateIssuer
1164657425MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://nppes.cms.hhs.gov/

National Provider Directory

National Provider Directory

Locations

4661 Stockdale Hwy
Bakersfield, CA 93309
Phone (661) 837-0435

Practitioners & affiliated clinicians

Practitioners 2

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": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1427797141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11503 PACIFIC SHORES DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933128211",
            "telephone_number": "949-202-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4661 STOCKDALE HWY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092614",
            "telephone_number": "661-837-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIM DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "CHING LAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-202-7952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164657425",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://nppes.cms.hhs.gov/",
            "affiliation": "N",
            "address_1": "4661 Stockdale Hwy",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933092614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.