Individual provider Active NPI

Gerald Lim, D.D.S.,M.S.

  • Endodontics
  • Palm Desert, CA
National Provider Identifier
1568594315
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
38713 Issued in CA
Practice address
74120 El Paseo
Suite 2
Palm Desert, CA 92260-4120
Phone
(760) 568-5488
Fax
(760) 568-4668
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 38713 CA Primary

Addresses

Primary practice location

74120 El Paseo
Suite 2
Palm Desert, CA 92260-4120

Mailing address

74120 El Paseo
Suite 2
Palm Desert, CA 92260-4120
Phone (760) 568-5488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 25, 2016 through Jul 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
38713CAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568594315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74120 EL PASEO",
            "address_2": "SUITE 2",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604120",
            "telephone_number": "760-568-5488",
            "fax_number": "760-568-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74120 EL PASEO",
            "address_2": "SUITE 2",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604120",
            "telephone_number": "760-568-5488",
            "fax_number": "760-568-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "38713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.