Individual provider Active NPI

Byung Su Lim, L.AC.

  • Acupuncturist
  • Federal Way, WA
National Provider Identifier
1477870699
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC60140972 Issued in WA
Practice address
32020 1St Ave S
Suite#106
Federal Way, WA 98003-5717
Phone
(253) 874-3888
NPI assigned
Apr 27, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC60140972 WA Primary

Addresses

Primary practice location

32020 1St Ave S
Suite#106
Federal Way, WA 98003-5717

Mailing address

32020 1St Ave S
Suite#106
Federal Way, WA 98003-5717
Phone (253) 874-3888

Other identifiers 1

IdentifierTypeStateIssuer
AC60140972OtherWAWA STATE LICENSE NUMBER

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
AC60140972WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Johning Corporation Acupuncturist Past Accepting new patients

Organizations & group practices 1

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": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1477870699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32020 1ST AVE S",
            "address_2": "SUITE#106",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035717",
            "telephone_number": "253-874-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32020 1ST AVE S",
            "address_2": "SUITE#106",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035717",
            "telephone_number": "253-874-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "BYUNG SU",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-27",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60140972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE LICENSE NUMBER",
            "identifier": "AC60140972",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.