Julia Y Lim, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

102288 Issued in CA

Practice address

2817 Reilly St
Fort Bragg, NC 28310-7394

Phone

(213) 820-8002

NPI assigned

Aug 3, 2018

Reactivated

Apr 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1467930180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13446 REVA CIR",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038920",
            "telephone_number": "213-820-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 REILLY ST",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283107394",
            "telephone_number": "213-820-8002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13446 Reva Cir",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "907038920",
            "country_code": "US",
            "telephone_number": "213-820-8002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "618th Dental Co, USAG Humphreys, Carius Dental Clinic",
            "address_2": "Unit #15660, BLDG #P3020",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AP",
            "postal_code": "962715669",
            "country_code": "US",
            "telephone_number": "213-820-8002",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "JULIA",
        "middle_name": "Y",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "deactivation_date": "2019-03-28",
        "reactivation_date": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lynn Liang, PHARM.D.
• Linda Manon Libby, LPC MAC
• Rebecca Liechti
• John Lierly
• Sasha L Lightfoot, DO
• Rachel M Linares, DMD
• Briana Lindberg, M.D.
• Lisa Lindman, OT/L
• Norma Cima de Villa Lindon, DMD
• Jeffrey Andrew Ling, MD

• Dentist in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.