Active NPI
Sonny Lim D.M.D. Inc.
- General Practice Dentistry
- Woodland, CA
National Provider Identifier
1578600276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 43363
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sonny Sy Lim, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Woodland, CA
- NPI 1689953663
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.