Organization Active NPI

Sonny Lim D.M.D. Inc.

  • General Practice Dentistry
  • Woodland, CA
National Provider Identifier
1578600276
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43363 Issued in CA
Legal business name
SONNY LIM D.M.D. INC.
Practice address
1837 E Gibson Rd
Suite D
Woodland, CA 95776-5163
Phone
(530) 406-1730
Fax
(530) 406-0108
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Dr. Sonny Sy Lim, DMDNPI 1689953663
Title
President
Phone
(530) 406-1730

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 43363 CA Primary

Addresses

Primary practice location

1837 E Gibson Rd
Suite D
Woodland, CA 95776-5163

Mailing address

1837 E Gibson Rd
Suite D
Woodland, CA 95776-5163
Phone (530) 406-1730

Other names 1

  • SpringLake Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1837 E Gibson Rd
Ste D
Woodland, CA 95776
Phone (530) 406-1730

Practitioners & affiliated clinicians

Practitioners 1

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1578600276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 E GIBSON RD",
            "address_2": "SUITE D",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957765163",
            "telephone_number": "530-406-1730",
            "fax_number": "530-406-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 E GIBSON RD",
            "address_2": "SUITE D",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957765163",
            "telephone_number": "530-406-1730",
            "fax_number": "530-406-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONNY LIM D.M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "SONNY",
        "authorized_official_middle_name": "SY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "15304061730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SpringLake Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.